Touching Lives - Shifa International Hospitals Ltd. AR 2014-20141001-092736.pdf · Touching Lives...

Annual Report 2014 1

A N N UA L R E P O RT 2014

LivesTouching

ShifaInternationalHospitals Ltd.

Touching Lives for Shifaites is the name of a continuous synchronized process of delivering quality healthcare services that inspire patients and their families to dream more, live more and inspire others

At Shifa, progress in healthcare excellence is a philosophy that we practice, each day, across our hospitals.

Mission, Vision & Values 4Company Information 6Board of Directors 8Chairman’s Review 10Chief Executive Officer 14Office of the Medical Director 16Shifa Heart Center 22Orthopaedics 24Neurology 26Shifa Cancer Center 28Nephrology 30Gastroenterology 31Liver Transplant 32Internal Medicine 33Urology & Kidney Transplant 34Ophthalmology 35Plastic Surgery 36Mother & Child Health 38Critical Care & Pulmonary 40Endocrinology 41Allergy & Immunization 42Psychiatry 43Dermatology 44Nutrition Medicine 45Anaesthesia 46 General Surgery 47ENT 48Shifa Dental Clinic 49Our Consultants - Our Pride 54Strategic Planning Model 94Awards & Achievements 95Office of the COO 96Emergency Services 100Nursing 102In-Patient Department 104Out-Patient Department 105Rehabilitation 106Laboratory 107Radiology 111Pharmacy 113Operation Rooms 114Food & Nutrition Services 115

Maintenance 116Biomedical Engineering 117MIS 118Supply Chain 119Security & Project Dept. 120Quality Assurance 121NES & House Keeping 122Horticulture, Linen & Laundry 123Human Resources 124External Services Division 126Shifa Medical Center 127SIH Faisalabad 128Our Colleagues - Our Pride 130Office of the CFO 134C S R 135Acknowledgement 140Notice of the 28th AGM 142Statement of Material Facts U/s 160 (1) (b) of the Companies Ordinance, 1984 144Directors’ Report 146Statement of Value Addition 150Six Years at a Glance 152Horizontal Analysis 154Vertical Analysis 156Statement of Compliance with CCG 158Review Report on Statement of Compliance 160Auditors’ Report to the Members 161Balance Sheet 162Profit and Loss Account 164Statement of Comprehensive Income 165Cash Flow Statement 166Statement of Changes in Equity 167Notes to the Financial Statements 168Pattern of Shareholding 199Form of Proxy

Contents

To be the region’s leader by providing quality healthcare services

Our VisionHealthcare with Compassion for allOur Mission

Compassion, Commitment, Teamwork, Quality, Respect and Accountability

Our Values Our Strategic Priorities• Physician Partnership and Enhanced Clinical Quality• Provide Seamless/Easy Access Care Delivery• Financial Strength/Viability• Strategic Growth

Company InformationBOARD OF DIRECTORS

Dr. Habib-Ur-Rahman, ChairmanDr. Manzoor H. Qazi, CEOMr. Muhammad Zahid, DirectorDr. Abdul Razaq, DirectorDr. Saeed A. Bajwa, DirectorDr. Mohammad Salim Khan, DirectorMr. Shafquat Ali Chaudhary, DirectorMr. Shah Naveed Saeed, DirectorMr. Qasim Farooq Ahmad, DirectorDr. Samea Kauser Ahmad, Director

AUDIT COMMITTEE

Shah Naveed Saeed, ChairmanDr. Habib-Ur-Rahman, MemberDr. Mohammad Salim Khan, MemberMr. Muhammad Zahid, MemberDr. Samea Kauser Ahmad, Member

HR & R COMMITTEE

Dr. Habib-Ur-Rahman, ChairmanDr. Manzoor H. Qazi, MemberMr. Shah Naveed Saeed, Member

CHIEF OPERATING OFFICER

Mr. Sohail A. Siddiqi

CHIEF FINANCE OFFICER

Syed Muneer Hussain

COMPANY SECRETARY

Mr. Muhammad Naeem

HEAD OF INTERNAL AUDIT

Mr. Muhammad Saeed

AUDITORS

M/s Anjum Asim Shahid RahmanChartered Accountants

LEGAL ADVISOR

M/s Bashir Ahmad Ansari & Company

BANKERS

Meezan Bank LimitedAl Baraka Bank (Pakistan) LimitedBurj Bank LimitedHabib Bank LtdMCB Bank LimitedFaysal Bank LimitedFirst Habib Modaraba

REGISTERED OFFICE

Sector: H-8/4, Islamabad

SHARE REGISTRAR

M/s Corplink (Private) LimitedWings Arcade, 1-K, Commercial,Model Town, Lahore.

Shifa International Hospitals Limited6

Board of Directors

Dr. M. salim KhanDirector

Dr. Habib-Ur-RahmanChairman

Mr. Muhammad ZahidDirector

Dr. Manzoor H. QaziCeO


Mr. Qasim Farooq AhmadDirector

Dr. Abdul RazaqDirector

Mr. shafquat Ali Ch.Director

Dr. samea Kauser AhmadDirector

Dr. saeed A. BajwaDirector

Mr. shah Naveed saeedDirector


It is a privilege to share review of Shifa’s past year with all stakeholders. This is an endeavor that includes recalling and reiterating the ideals that we pursue as a company and individual professionals as well as charting the future course of action. It is, hence, a glance at the past with eyes focused on future horizons. Very dear to our hearts is the vision of founders which after a quarter century holds the same practical relevance and inspirational value for our team. We are mindful to design our corporate strategies in a manner that our core operations result in adding value to our CSR philosophy and initiatives. We at Shifa International Hospitals Limited believe that activities under the banner of Corporate

Social Responsibility should not remain limited to a few philanthropic contributions. We need to widen the canvass to paint better pictures. Conscientious companies cannot remain aloof to the responsibilities which they owe to their respective communities in their core operations. With the above-stated guiding principle in mind, Shifa International Hospitals Limited especially focused on a number of new and ongoing initiatives to further enrich the impact of our efforts to create value for the communities we serve and to our nation.

Employees’ empowerment in the course of training and development and by inculcating a sense of ownership

Chairman’s Review


through well-thought-out policies has been one such area in this regard. This exercise has resulted in not only enriching the lives of these individuals but has enabled them to serve as ambassadors of the company, and more importantly, the values that our company espouses. I can confidently state that we are nurturing conscientious and responsible professionals who are equally good citizens. They, I believe, have become change agents in their respective societies.

Education has always been of phenomenal importance and significance in the betterment and uplift of individuals, businesses, communities, societies and nations. We do have a responsibility to share in this arena. It is as important as our core functions. We, and for that matter any business, cannot think of prospering and growing in a backward and illiterate society. Shifa International Hospitals was mindful of this duty from day one and we were always eager to augment the educational initiatives – from professional education in medicine and related disciplines to general education for indigent communities through our sister organizations. This hand-in-glove approach helped us prepare competent and research-savvy health professionals who would serve better our consumers and, simultaneously, impart a learning culture in their communities as well as peer institutions. A giant leap in this regard was establishment of Shifa Tameer-e-Millat University of which, Shifa International Hospitals Limited, is one of the three sponsors. Seeing its direction, I believe that with every passing day STMU will further make its mark and become a pioneering institution in advancing excellence in various health related academic disciplines, to name a few, Healthcare Administration, Healthcare Economics, Entrepreneurship in Healthcare etc.

While thinking about a society’s development, the importance of environment cannot be overemphasized. In fact, one cannot think of a society while overlooking the environment. An American cultural anthropologist of the previous century, Margaret Mead has said “we won’t have a society if we destroy the environment”. Our Enterprise Resource Planning initiative, besides others, will significantly minimize the use of paper and hence enable us to put our share in protecting environment. We were taught the lesson of care for environment by our Holy Prophet Muhammad (SAW) centuries ago in ahadith encouraging plantation of trees. “Whoever plants a tree and diligently looks after it until it matures and bears fruit is rewarded” – (Musnad

Ahmad bin Hanbal). Ours may be a humble contribution towards environment protection but it is a conscious effort and we take pride in it and share for others to follow.

To conclude I would like to again refer to the sense of direction discussed in the beginning. We are steadfast in our resolve and have unwavering confidence in our direction being right and with these feelings we vie to touch newer heights in our business and social endeavors. For us, they are inseparable.

I am honoured to convey my deep appreciation for the shareholders, the Board of Directors, consultants, employees, management and not the least, the patients – who all have contributed to making Shifa International Hospitals (Limited) a responsible, futuristic and forward-looking national institution.

With this keynote, I present the Chairman’s review for the year ended June 30, 2014.

Very dear to our hearts is the vision of founders which after a quarter century holds the same practical relevance and inspirational value for our team. We are mindful to design our corporate strategies in a manner that our core operations result in adding value to our CSR philosophy and initiatives.

We at Shifa International Hospitals Limited believe that activities under the banner of Corporate Social Responsibility should not remain limited to a few philanthropic contributions. We need to widen the canvass to paint better pictures.


After completing 20 years of success with pride, we have already embarked on the journey of next 20 years. The new 1st year has produced results, better than our expectations. Looking back, the critical element in our success was the Quality of Healthcare Delivery. This will remain our core focus as we move forward. As Chief Executive Officer of Shifa International Hospitals Limited I believe that commitment to quality is our prized distinction and guarantor of success.

Increased knowledge, know-how and increased resources are definitely helpful but will not translate into high quality

of healthcare. How one organizes the delivery of care is more important.

Combined and untiring efforts of everyone – healthcare professionals, patients and their families, planners and educators to make the change will lead to better patient outcome, better systems performance and better professional development. These changes should become integral part or second nature of everyone’s job, everyday in all parts of the system. Unshakable belief in the idea that everyone in healthcare really has two jobs when he/she comes to works everyday – to do the work and to

Office of the Chief Executive Officer


improve it. Yes this is the Quality and it has to improve every time – tomorrow we will provide even better care than we provided today.

Successful and high quality service of 21 years has given new energy and new motivation to all the members of Shifa Family. Everybody is enthusiastic and committed to perform even better than a successful yesterday. New avenues are being thought of and explored. Understandably, the current infrastructure has its limitations after 21 years of constant growth. We have expanded into a new facility in nearby G-10 area which will be more of a primary care facility and take some overflows from the main Hospital. We are actively in process of looking into possibilities of Shifa International Hospitals in other cities of Pakistan.

In August our Liver Transplant Team – the only one in Pakistan – achieved another milestone. 100 Transplants from live donors with zero donor mortality and the results of recipients comparable to any respectable international institution. Our Transplant Centre is also performing Kidney and Bone Marrow Transplants with excellent results. We are proud of this team.

New Operating Rooms – our biggest and most ambitious project in last several years is the commissioning of 14 new Operating Rooms, which are fully equipped with latest design and technology. With the existing OTs now we have 22 OTs to serve our patients – and have the best surgical infrastructure in Pakistan. While we are already doing Laproscopic and minimally Invasive Surgeries, we plan to start Robotic Surgery in next 2-3 years.

With over 200 highly qualified consultants and more than 350 young doctors in training, 3700 employees, 500+ beds, more than 100 critical beds and 680,000 sq ft built area with complex equipment and technology, all geared towards care and safety of the patients, employees and visitors – this all has beautifully blended into a quality machine which is enviable. I am thankful to every member of Shifa Family for this excellent care and performance.

Providing the best Technology to our patients has been our priority from day one. Recent acquisitions of second latest Linear Accelerator, highly sophisticated ophthalmology and OT equipment are testimony to this.

Our hospital in Faisalabad and the new one in G-10 area are providing the same quality of care at the doorsteps of those communities. We plan to expand this network. Kabul and Dubai Facilitation Centres started during the year, have

been slow in the beginning as expected, but have started picking up now.

We are training senior and junior doctors, nurses and paramedical staff from other areas of Pakistan and Afghanistan, in collaboration with Government and Non-government organizations. Actually we have become Master Trainers for the Healthcare Professionals in the region. This is a feeling of pride and satisfaction. As we are expanding, we are seeing more and more of our trained medical, paramedical and nonmedical staff in other hospitals of Pakistan and Middle East. We feel proud about it.

Our administrative, financial and professional systems are working more efficiently, smoother and with better cost controls. This is reflecting into increased clinical outcome and higher patient satisfaction and better earnings per share.

With the help of our MIS Department we are rapidly working towards automation in all the areas and within next 12 months almost all the above systems will be automated…Insha-Allah!

One of the areas which did not get enough attention in past is Clinical and Basic Research. We are rapidly putting in place an infrastructure which will be helpful in establishing world class Research Unit, which we can be proud of.

Shifa International continues helping increasing number of non-affording patients, through Shifa Foundation. All these patients get the same facilities and same care and respect as other patients at Shifa. The number of Shifa Foundation patients which we treat are limited because of limited availability of funds. Shifa Foundation is constantly making fundraising efforts so that more and more of these less privileged patients can be served.

I, along with every member of Shifa Family, am thankful to Almighty Allah for His guidance and giving us strength and resources to help sick fellow human beings.

Increased knowledge, know-how and increased resources are definitely helpful but will not translate into high qual-ity of healthcare. How one organizes the delivery of care is more important.


Office of the Medical Director

Dr. Darakhshan JabEEnDirector PGME

Dr. Mian aMJaD sohailDirector Medical Services

Dr. arif MalikDirector Surgical Services


Entire clinical aspects of our service delivery and mattersrelated to our faculty are governed by the office of theMedical Director. Medical Director in close and activecollaboration of Director Medical Services and DirectorSurgical Services streamlines and supervises the entireclinical operations to play a major role in achieving

Enhanced Clinical Quality. MD reports to the ChiefExecutive Officer. MD Office also looks after a rigorousPost Graduate training program. We are currentlyrunning PG training program in more than 18 specialitiesof medicine and surgery.

Medical Director in close and active collaboration of Director Medical Services and Director Surgical Services streamlines and supervises the entire clinical operations to play a major role in achieving EnhancedClinical Quality

Dr. Mrs. k. s. raJaChief of OBS & Gyne

Dr. MusarraT hussainChief of Pediatrics

Dr. M. Yousaf ChauDharYChief of Radiology

Dr. GhulaM siDDiq khanChief of Surgery

Dr. iMran naZir ahMaDChief of Pathology

Dr. sYED naYEr MahMuDChief of Medicine

Dr. MuhaMMaD ashrafChief of Anaesthesia & PainMedicine


Medical Staff AffairsThe Department of Medical Staff Affairs (MSA) develops and manages credentialing, re-credentialing and privileging activities of the medical staff. It plays a pivotal role in implementing various policies & procedures in the best interest of the patients. MSA supports the Medical Staff leadership and committees by providing expert consultation. It ensures that medical staff adheres to the Medical Staff Bylaws, rules and regulations and policies designed for improving the quality, safety and care of our patients.

Our systems allow only the most competent physicians to be appointed. Physicians form our backbone and are an integral part of various committees which develop guidelines & policies. MSA is currently experiencing an intense activity for JCI accreditation process. Led by the Medical Director & the Directors of Medical & Surgical Services, MSA is proud to be current and compliant with all national & international standards.

MSA places an immense importance to the patients’ documentation & its easy accessibility. About 75 percent of the patient data is now available online and efforts are under way to have full EMR soon.

MSA remains vigilant throughout the patients stay in the hospital starting with their initial assessment to the time of discharge and ensures that all recommendations at various

steps are followed. Stringent measures are taken to control infection so that our patients are discharged in a minimal possible time. Outpatient interactions are also monitored very closely. MSA is actively involved in mortality & morbidity reviews and clinical audits. All patient related complaints are analyzed in detail in MSA and corrective measures are taken whenever necessary.

MSA places considerable emphasis on the capacity building activities for physicians and other healthcare providers and facilitates continuing medical education. Life Assistance skills have been made mandatory for all physicians and other caregivers.

The department directs & oversees all our well sought after internship, residency and fellowship programs. Presently we have 206 trainees in 18 CPSP approved programs. Since its inception in 2003, 37 trainees have passed their FCPS examinations.

Our physician friendly work environment has made it possible to have the highest number of US & UK trained and qualified physicians, under one roof, anywhere in Pakistan. MSA ensures that health, disability & insurance needs of our physicians and their families are met so that their focus always remains on patient care.

Consultants: 218PG trainees : 206

Medical Officers: 103Interns: 41

FCPS: 37MCPS: 14IMM: 94MRCOG: 06FRCR: 07MRCP: 06MRCS: 05

18 College of Physicians & Surgeons approved Postgraduate Training Programs

Touching lives

While we serve the humanity with zeal and passion

Words like these prove our commitment

and compassion



The Heart Centre of Shifa International Hospital is the hub of various general and specialized cardiac services. It is known to be one of the best heart health centers of Pakistan. Angiography, angioplasty, stents, intra aortic balloon pump, EECP and Cardiac MR are some of the services we offer here. Our highly competent consultants have the ability to deal with critical areas and conditions and treatments of heart like Heart Failure, Interventional Cardiology/PCI, CHD/Valve Replacement, Peripheral Vascular Disease & Peripheral Artery Disease (PVD & PAD), Electrophysiology/Arrhythmias, Cardiac Imaging and Cardiac Rehabilitation.

We are equipped with Cardiac CT (640 slice) that is advance and fast technology. It has made possible to record coronary angiogram without placing catheters in the heart. The risk associated with conventional coronary angiography can thus be avoided. The department also provides EP studies with Cardiac ablation, Cardiac Resynchronization Therapy and Implantable Cardiac Defibrillator.

We plan to expand rapidly and our improvement plan is aimed at revolutionizing heart health facilities’ culture. Following are some of the initiatives in this regard:

Cardiac MRI Service: The department aims to offer this new and exciting diagnostic modality. We hope to start the service with full strength in 4-6 weeks. Our goal is to establish a full time and dedicated cardiac MR and cardiac CT set up in the upcoming years that can cater to the needs of the region.

National Integrated Anticoagulation Service (NIACS): We take pride in successfully initiating and developing a

comprehensive and integrated a n t i c o a g u l a t i o n s e r v i c e in collaboration with our H e m a t o l o g y department and Roche pharmaceuticals. This is done at a time when anticoagulation is an unregulated and unmonitored therapy in most of the developing countries. We provide an INR monitoring and appropriate dosage facility. We have also acquired smaller strength warfarin for the patients. Now, we intend to extend our services throughout the region and beyond.

Heart Failure Service: This unique and pioneering service will help establish SIH in providing extensive and comprehensive health provider. The department plans to start a heart failure treatment optimization service for chronic heart failure patients by autumn this year. If not managed properly, the condition can show worst prognosis than certain cancers. It will be supervised by the consultants and run by cardiology fellows and nurse practitioners. We not only intend to provide support to the patients in the clinic but also through emailing, mobile text and telephones.

Patient Education Program: We realize the importance of educating and informing the general public about health. Thus we plan to do this in association with NUST. The program will be called IMPROVED or Improving Public Perception of Diseases which will produce pamphlets,

i am blessed with a new lifeI had chest pain in 2009 and I came to Shifa to discuss my case with doctors. My luck that most of the doctors were on leave that day due to Eid holidays. Seeing me in pain, Dr Habib ur Rahman, a great personality in the cardiology clinic, called me in his room and examined me. He gave me around two hours, in which he looked at my reports and listened to me. I was so obliged that he spared so much time for a patient and didn’t even charge a penny. Dr Fareed Ullah did my surgery and now I am under treatment of Dr Asad. They are Pakistan’s highly qualified specialists and I have no doubts about their capabilities. I am blessed with a new life. And after Allah, these two personalities are the ones to be credited. I have been to other hospitals for treatment too but my experience with Shifa is best.

Shifa Heart Center

City: Multan

Clinic: Cardiology

Consultants: Dr. Habib & Dr. Fareed

Patient: Subtayn Ali


newspaper articles, emails and mobile text. We hope to start it formally in October or November this year.

INCREDIBLE Heart: To help improve cardiovascular risks in general population, we have started an initiative and research study known as INCREDIBLE or Initiative for Cardiovascular Risk Reduction through Dietary, Behavioral, Lifestyle modifications and Exercise. We welcome sponsors for such milestone study. This program is mainly targeted to younger and middle aged population of the capital city and beyond with multiple cardiac risks. We have incorporated cardiac rehab program into this initiative and are utilizing our cardiac rehab facility as a centre for education and exercise program, obviously introducing people to our resources.

Cardiovascular and Thoracic SurgeryCardiovascular and Thoracic Surgery Department has matured in the past two decades having performed more than 4000 surgeries. We are proud to have reached a stage where the Department’s performance and spectrum of activities is comparable to any good tertiary care centre in the world. Over the past few years the variety of cases being performed have been expanded from Adult cardiac surgery to more sophisticated sub-specialized fields such as Aortic Root surgery, Thoracoabdominal Aortic surgery, Valve repair, Adult Congenital Cardiac surgery and Pediatric Cardiac surgery. In addition we have expanded the Thoracic surgery spectrum and currently are offering minimal access tumor resection, lung volume reduction, empyema surgery, and diagnostic procedures. Cosmetic correction of chest wall deformities, diagnosis and resection of mediastinal tumors, Video assisted Thoracoscopic surgery for pneumothorax, pleural effusions diagnosis and therapy are also being performed. We continue to expand our charity program in collaboration with various charities both f r o m within Pakistan and from abroad. We are especially grateful to Shifa

Foundation that continues to come to our patients rescue from time to time at short notice.

We aim to continue to expand further in the near future and hope to offer endovascular

surgery for Aortic aneurysm, Carotid Stenosis and peripheral vascular disease.

We also aim to be one of the first institutions to offer Percutaneous

valve replacement in Pakistan. Another of our targets is to offer ECMO service for pediatric population and Cardiac and Respiratory failure therapies including Cardiac assisting devices and Cardiac and Lung transplantation in the near future. As a service to the specialty we aim to start a cutting edge Residency program comparable to the best in the world. We also want to start a diploma in Cardiovascular Nursing in collaboration with Shifa School of Nursing. The

education program will help fulfil the dream of

our pioneers who envisioned an institution comparable to

the likes of Mayo Clinic or the Cleveland Clinic in the

United States.


Orthopedics is one of the significant departments of SIH. We offer all major elective procedures such as hip and knee replacements, knee and shoulder arthroscopies, limb length and limb deformity correction with Ilizarov external fixator, spinal surgery and pediatric orthopedics are being done here. The three member team of young and energetic

surgeons is trained and experienced in modern orthopedic medical & surgical treatment. Two of the surgeons are on the Specialist Register in Ireland and UK.

The department provides 24/7 trauma services and covers all aspects of trauma including pelvic and acetabular fracture fixation, intramedullary nailing, management of open and closed fractures etc.

The standard of care in orthopedic in-patient ward rooms is of the highest quality with specific attention to avoidance of infection. We have nurses in the ward specially trained in orthopedic. A physiotherapist with special training in orthopedic rehabilitation has been dedicated for patient’s postoperative rehabilitation.

Our new elective orthopedic theatre has international standard laminar airflow. This minimizes the risk of infection in orthopedic surgical case such as joint replacement and implant surgery. There will be new operation theatres specifically for orthopedics in the near future which are designed at the highest international standards. Moreover,

the newly acquired equipment includes an operating table that can be used to take X-rays during the surgery. Surgeries are done with disposable surgical gowns and drapes to further minimize the infection risk. We have recently acquired a new Image Intensifier which is a specialized X-ray machine that is used to see the position of bones and implants during operation.

The Orthopedic department offers:

• Management of simple and complex fractures and dislocations with internal and external fixations

• Limb deformity correction and lengthening via Ilizarov external fixator – Joint replacements including Total Knee, Hip and Shoulder replacements – Arthroscopies of the knee, ankle and shoulder joint

• Fixation of complex pelvic injuries • Pediatric Orthopedic surgery including Developmental

Dysplasia of Hip, Congenital Hip Dislocations, Club foot management by Ponsetti Technique and surgical club foot correction and many other congenital deformities

The orthopedic unit is progressing rapidly and will soon have recognition for postgraduate training. We also soon hope to welcome onboard a fourth Consultant Orthopedic Surgeon who is fully qualified and has most of his training in Ireland & UK.

i will be discharged todayI am very satisfied with the treatment I am getting at SIH. The doctor’s and staff are loveable and caring. The staff takes care of the patients’ needs. Dr Waqar Jan and Dr Iffat are highly competent. I came here to get treatment for my broken knee. Examination and tests revealed that I needed a knee replacement surgery. During this time I did not feel even slight pain. Today is my fifth day of surgery and I will be discharged today. My initial walking sessions have also started. One comes to know this hospital actually is only when you visit. People will notice great difference from other hospitals. The well maintained cleanliness is worth praising; even the washrooms are well kept.

Orthopedics

City: Attock

Clinic: Orthopedic

Consultant: Dr. Waqar Jan

Patient: Shehnaz Shahjahan


Neurology, one of the key departments of Shifa International Hospital, has highly trained and qualified neurologists, who along with their dedicated post-graduate trainees and nursing staff, provide inpatient and outpatient services. The division mainly provides diagnosis and treatment options for disease relating to the body’s neurological system. We have the honor of establishing the first dedicated Stroke Unit in the region. Fortunately, the department is also credited for having Pakistan’s first Dementia patient registry and a registry for maternal and fetal complications in pregnant epileptic women. Our post-graduate training program is also a matter of great pride for us. The goal of the Neurology Residency is to train future leaders in clinical and academic neurology. Currently, we have 6 Post graduate fellows in training.

We offer Neurophysiology services that include Nerve Conduction studies (NCS), Electromyography (EMG), Electroencephalography (EEG), Video EEG monitoring, sleep studies and all types of evoked potentials

(somatosensory, brainstem auditory, visual).

We celebrate designated awareness days for common neurological diseases and have put efforts in developing patient awareness materials for Stroke, Alzheimer’s, Epilepsy and

Multiple Sclerosis. Our research team is actively working on over 15 on-going projects. More than 30 research papers have been published in several renowned international

and national indexed medical journals over the course of last five years.

Our future vision includes establishment of a fully facilitated Neuro-Rehab unit which is going to be first of its kind in the country. We also soon aim to establish epilepsy and botox clinic. Initiation of a Parkinson’s disease registry is also in the pipeline.

neurosurgeryThe department of Neurosurgery has 4 qualified and experienced neurosurgeons with vast experience in dealing with brain tumors, spinal procedures and vascular and endoscopic procedures. We also provide high quality care for neurosurgical trauma patients and have high quality equipment for spinal fixation and excellent neuro-monitoring facilities. Neurology division

at Shifa compliments the Neurosurgery and this combination makes Shifa the ultimate choice for patients.

like a mother takes care of her childI was brought unconscious to SIH. When I regained conscious, I found doctors, nurses and my family standing around me. I actually had an accident in 2000 and was treated at a government hospital in Rawalpindi. In April 2013, I again had pain in my head. A friend advised me to visit SIH for this kind of issue. Shifa was new to me but I really liked the attitude of doctors. They take care of patients like a mother takes care of her child. Dr Tauqeer Nasir, Dr Yousuf Awan and Dr Maimoona treated me well. SIH is the best from all aspects. A patient’s life is highly precious and here they try their best to bring hope and life to the patient. The whole environment and staff is friendly at Shifa. I regained my health here and I feel indebted to everyone. I never found such warmth and affection anywhere else.

Neurology

City: Tehsil Kahuta

Clinic: Neurology

Consultant: Dr. Maimoona Siddiqui

Patient: Naveed Akhtar



Shifa Cancer Center has been providing state of the art medical treatment for cancer patients since the early 90’s. Considering the growing burden of the disease, the pioneers realized the need and established the first radiation oncology department in the private sector in 1994. Progressing further, the department developed additional cancer treatment facilities over the years. Now, we are proud to be part of full-fledged Shifa Cancer Centre, established in 2012. Medical oncologyWe provide comprehensive medical oncology care for solid tumors and hematological malignancies, including chemotherapy and autologous/allogenic Bone Marrow Transplant (BMT). Moreover, there is inpatient care for chemotherapy, supportive care and treatment of emergencies and complications as well. We hold Multidisciplinary Tumor Board regularly at our facility.

The Oncology Day Care Unit is especially designed for patients suffering from various benign and malignant disorders. This Unit offers various diagnostic and therapeutic modalities including blood transfusions for patients with thalassaemia. Other than this, other types of blood component infusion therapy and outpatient cancer chemotherapy for all types of malignant diseases is also available.

Radiation Oncology Radiation Oncology Department has the privilege of being Pakistan’s first radiation therapy center in the private sector. Trained and expert staff of the department has been providing radiation therapy services to cancer patients since 1994.

Currently, we provide 2DRT (Two dimensional Radiation Therapy), 3DCRT (Three dimensional Conformal Radiation Therapy), IMRT (Intensity Modulated Radiation Therapy) and Arc and Rotational Radiation Therapy.

The department is equipped with a state of the art Liner Accelerator and CT Simulator (Wide Bore). The latter is used for accurate visualization of tumors and normal tissues in each individual patient so that accurate targeting of tumors and protection of normal tissues can be done.

We are the first department to introduce and implement SOPs for radiation therapy including Simulation, Customized Shielding Blocks, Computerized Treatment Planning and Port Films for Treatment Verification. Moreover, we have the pleasure of being the pioneer center to train many medical physicists and technologists now serving cancer patients in different hospitals of Pakistan as well as abroad.

Competent Doctors, standardized Treatment I had surgery for prostate cancer and was being treated for it in Lahore. But I was not satisfied. My experience in other hospitals of Lahore was also not really good. I therefore, finally came to Shifa. Staff in some hospitals doesn’t bother guiding the patients where to go. Here at Shifa, I found the staff’s attitude very positive. My radiation was done by Dr Mohammad Ali Afridi. He is competent and a good person. The staff in oncology department is also worth praising. One of the reasons of my coming here is that I find Shifa very clean. Nowadays, I am under the treatment of Dr Kamran Rasheed. He is not just a doctor of great stature but a great person as well. I am satisfied with the treatment I am getting. If people want to get standard treatment they should definitely opt for SIH.

Shifa Cancer Center

City: Lahore

Clinic: Oncology

Consultant: Dr. Kamran Rasheed

Patient: Javaid Akhtar



The department of Nephrology deals with the care of the patients with kidney diseases of different stages. With a team of four qualified and experienced nephrologists, our centre has grown into a busy and sought-after center for nephrology services over the last 20 years. The department provides various types of therapies like dialysis, one of its key services, and kidney transplant and also deals with salt, water and electrolyte disorders. There is no doubt that our dialysis centre is one of the best in the country. The department started with just a few machines in the beginning and now has 33 to cater to the needs of the patients. Our dialysis centre offers its services round the clock; even on public holidays. Moreover, outpatient, inpatient and emergency dialysis facilities are also provided here. From doing just a couple of hundred dialysis sessions each month, we now perform m o r e than two thousand every month. We have a competent, experienced and hard working dialysis staff that is determined to meet the expectations of the patients. The centre also trains new dialysis technicians.

We now also provide CRRT (Continuous Renal Replacement Therapy) to the critically ill patients. Our department is also performing interventions like kidney biopsies and dialysis access placements. Permanent dialysis access like Arteriovenous fistulas and grafts are also formed here. Living related kidney transplantation is also being done at Shifa and we have performed more than 250 renal transplantations so far.

We have an active fellowship program (FCPS) recognized by the College of Physician and Surgeons of Pakistan and presently eight fellows are doing their fellowship. The department is committed to play its part in serving the community by providing the best trained, knowledgeable and hard working nephrologists.

We plan to upgrade the dialysis centre into a custom made unit with 60 machines. The department also aims to establish a chain of satellite dialysis units in different parts of the country where our trained fellows will provide health services to the needy patients near their homes.

Nephrology

Cleaner Environment, Great ExperienceAs soon as I came to know I had a kidney problem, I came to Shifa. My friend had been treated here earlier and he advised me to visit SIH. I was admitted for two days. I do not have treatment experience of any other hospital. But I am aware that there is a huge difference. I am very much inspired by the environment. They are so diligent in keeping the hospital clean and I haven’t witnessed this in any other hospital. My experience with Dr Nayer was also great.

City: Faisalabad

Clinic: Nephrology

Consultant: Dr. Nayer Mahmood

Patient: M Saleem


Department achieved a landmark this year by performing 100th successful liver transplant. This is major achievement, as Shifa becomes first institution in Pakistan to offer this badly needed service and has successfully brought itself to the premier position as the center of excellence in this area. The entire team of transplant service deserves appreciation and the Shifa administration for whole heartedly supporting all these efforts.

Our fellowship program in Gastroenterology has advanced successfully and we are training young physicians to become proud gastroenterologists to serve this country. We also added fellowships in Liver Transplant and are in process to add Transplant Hepatology Fellowships. This will bring major service to the nation.

All this brought up gradations of the department in terms of equipment, space and staffing to further provide Stat of the Art

services to our patients.

Gastroenterology & Liver Transplant/Hepatobiliary & Pancreatic Surgery

i travelled all the wayI am from Afghanistan and it takes approximately 50 hours to get to Islamabad. Despite the language and cultural barriers, travelling so long for treatment is proof enough that the hospital is worth it. The attitude of doctors and even nurses for that matter is commendable. SIH is better than other hospitals because it meets the international standards. It provides all facilities required for the patient. After having a positive experience, I have suggested my friend also in Afghanistan to come to SIH for his problem. I am sure he will be satisfied too.

City: Afghanistan

Clinic: Gastro

Consultant: Dr. Farzana Shafqat

Patient: Habib Ullah


With 90% success rate, the department of Liver Transplant/Hepatobiliary & Pancreatic surgery has performed 107 liver transplants till now. This is a great achievement of the department. We offer adult and pediatric living donor liver transplantation on regular basis. We also perform all major pancreatic cancer surgeries including whipples operation along with vascular resection & reconstructions. The department also does minor and major liver resections for metastatic rumors, gallbladder cancer and cholangiocarcinomas. We perform portosystemic shunt operations in children & adolescents with portal vein thrombosis.

We are the country’s leading unit offering comprehensive care in liver, pancreas and biliary pathologies under the umbrella of a multidisciplinary team. Our transplant and hepatobiliary experience has been recognized at international forums and we have been awarded with travel grant as well. Our work has been presented at international liver transplant society and international HPB annual congresses in London, Sydney and Seoul. The unit is very active on academic front as well. We also provide fellowships training in liver transplant & HPB surgery.

We are aiming and working on to become one of the leading liver and pancreatic surgery units in the next 3-4 years.

Liver Transplant/Hepatobiliary & Pancreatic Surgery

Today i am alive because of these doctorsI suffered from hepatitis C since 2003. Even after completion of treatment course from Gujranwala my condition worsened. In 2013, I experienced a complication in which my stomach got filled with water. After a few days I got this horrifying news that I had cancer. I was also told that I had just one month left and liver transplant was the only option. My family decided to take me to India. Meanwhile, one day we saw a doctor on TV saying that liver transplant service was available in SIH. We immediately came here. The doctor’s gave me hope and I was the 6th case in Shifa’s history to get the transplant surgery. I was hopeful that I would survive. Dr Faisal Saud Dar did my surgery. SIH was considerate enough to transfer me under Shifa Foundation when the funds for my treatment exhausted. The best thing about doctors and management here is that they never leave the patient alone and do not stop treatment if the patient can no longer afford it. After Allah, today I am alive because of these doctors. My brother was my donor. Along with the recipient, the team also takes great care of the donor. The liver donation process is very transparent and only relatives are allowed to donate. I pray that SIH grows by leaps and bounds.

City: Multan

Clinic: Liver Transplant

Consultant: Dr. Mohammad Saleh

Patient: Sajjad Ahmad


Specialists of Internal medicine apply scientific knowledge along with clinical expertise to the diagnosis, treatment, and care of adults across the spectrum from health to complex illness. Internists often act as consultants to other physicians to help solve puzzling diagnostic problems. Hence, are sometimes referred to as the “doctor’s doctor”.

Patients’ problems may be common or rare, simple or complex. But an Internist is especially trained to deal with all sorts of problems. They have expertise to solve challenging diagnostic problems and can handle

severe chronic illnesses and multiple problems that can strike at the same time. Moreover,

they consider themselves responsible to provide an understanding to the patient about disease

prevention and the promotion of health, women’s health, substance abuse, mental health, as well

as effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Department of Internal Medicine has a wide range of clinical offerings, including but not limited to, general practice,

acute and chronic illness, annual check-ups, well-woman check-ups, preventive medicine, insurance medicals, immunizations, travel

advice and inpatient services including pre-operative evaluation.

Internal Medicine

With doctors i feel as with friendsI have been visiting Shifa since past 8 years. I initially came for diabetes treatment but later other associated illnesses like heart and kidney problems came to surface. My experience with Dr Aamer has been really good. After Allah, it is because of Dr Aamer that I am able to cope with so many diseases. Patients at Shifa are treated really well. They listen to the patient and make him feel he is talking to his friend. Earlier I used to go to local hospitals, but since I came to Shifa I have never been to any other hospital. There is huge difference between them and Shifa. We get the lab and other services under one roof and their working is also good.

City: Chakwal

Clinic: Internal Medicine

Consultant: Dr. Aamer NazirAhmad

Patient: M Shareef


Shifa’s Urology and Kidney Transplant Department remains at the forefront of treatment of various urological problems. These treatment options range from office urology, endourology, pediatric urology, laparoscopy, reconstructive surgeries, urological oncology and urogynacology. Eight experienced and well trained urologists including a full time pediatric urologist provide their service thus covering entire spectrum of Urology.

We are equipped with state of the art lithotripter and provide facility to all age groups. Ancillary help of general anesthesia has made lithotripsy possible even in young children including infants.

The department has fortunately become a comprehensive unit with the provision of kidney transplantation. And its results are comparable to international level.

Urology & Kidney Transplant

Didn’t feel i was in a hospitalI came to Shifa in May 2014 for a checkup. I was recommended various tests and was eventually diagnosed with a tumor for which I had to undergo surgery. One of my kidneys needed to be removed as well. I went to some other hospitals for treatment as well but I found Shifa the best. I didn’t feel I was admitted in a hospital. The air did not have the medicine odor which is usually present in hospitals and the environment was really clean. Other than the doctors, even nurses and staff have a great attitude towards patients.

City: Rawalpindi

Clinic: Urology

Consultant: Dr. Athar Khawaja

Patient: M Khalil Bhatti


Ophthalmology at Shifa provides state of the art anterior and posterior segment eye surgeries. We have latest Zeiss lumera operating microscope with inbuilt focusing for anterior and posterior segment procedures. It has up to 1.75mm small incision phacoemulsification with Infinity using unifocal, multifocal and toric foldable intraocular lenses to match individual needs. We perform a range of glaucoma surgeries that include using antimetablites and Valve surgeries for resistant cases. The department also has state of the art 25 G with valve, posterior vitrectomy with intraocular laser options and expertise to treat retinal and macular disorders. We are affiliated with American Tissue Bank

International (Donor bank) for corneal transplants for all ages. The department also has a trained optometrist

and strabismologist for pediatric care. The clinic also provides diabetic Retinopathy treatment in the form of laser

and ANTI VEGF injections. There is a wide range of diagnostic equipment available including OCT, corneal tomogram, Bscan,

Biometry, Fundus angiography which help in the diagnosis of different eye disorders.

Ophthalmology

it is Pakistan’s best hospitalI have come here for the first time. I was suffering from cataract since past 30 years. I went to many hospitals for treatment but it went in vain. My friend then suggested me to visit SIH. Here, the doctor recommended a surgery after which I am completely alright. Shifa is a great hospital and I am satisfied with their services. It is Pakistan’s best hospital. We get everything under one roof. And the attendants are not told to run around and bring this or that for the patient.

City:Rawalpindi

Clinic: Ophthalmology

Consultant: Dr. Sadia Farooq

Patient: Bashir Ahmad


Shifa’s Plastic Surgery Department, with three full time consultants and one associate consultant, provides a variety of cosmetic and reconstructive procedures. The consultants are highly qualified US and UK trained surgeons who are recognized internationally as well. They have an experience in plastic, reconstructive and hand surgery.

The department is well equipped to handle difficult cases that are tertiary referrals from plastic surgeons of other hospitals. They require complex reconstruction, often necessitating Microvascular Tissue Transplantation (Free flaps). More than 200 such cases requiring free tissue transfer have been done since 2009. We confidently say that the success rate of these cases have been 99 percent. The Plastic Surgery clinic is also involved in collaborative work with other specialties like ENT for head and neck cancer patients, orthopedic surgeons for bone and soft tissue sarcomas and limb salvage and interventional radiologists for embolisation of vascular malformations. Other than elective cosmetic and reconstructive procedures, plastic surgery department provides round the clock service of lower limbs, digit and hand amputation, chemical and electric burns and brachial plexus injury.

The department is recognized for full time residency program in plastic and reconstructive surgery by College of Physicians and Surgeons of Pakistan since January 2010. Currently, we have three residents and two senior medical officers. The first resident who cleared his FCPS II is now an Assistant Consultant at Shifa. The department is also a role model of academic excellence for elective rotations with approximately 12 residents completing their compulsory one month elective rotations every year. Since 2012, three international undergraduates have completed their electives. We are not far behind when it comes to academics. In a short time, we have managed to publish three papers in PubMed indexed journals, two of which are international journals and two papers have been accepted for final review. The department also has the honor of two gold medals for best paper presentation in two consecutive Annual meetings of Pakistan Association of Plastic Surgeons in 2013. Two chapters on plastic surgery have been published in a book title “Complex Injuries of the Hand” and one chapter in the book FRCS General surgery road to success.

The department is looking forward to expanding its cosmetic surgery services and hoping to start new reconstructive procedure like craniofacial surgery. With a unique blend of experience and youthful enthusiasm, it is well placed to excel in these endeavors. The department has also joined hands with renowned charity program “The Smile train project” to give quality care treatment to poor cleft lip and palate patients.

Plastic Surgery

i can’t think of going anywhere elseOther than being close to my home, I chose Shifa because it is the city’s most standardized hospital. I have lived in Australia for two years and I don’t find much difference between Shifa and the hospitals there. There is no doubt that it is an international hospital. Patient care is so important for them. I had breast cancer for which I underwent amputation. Later I was sent to plastic surgery for breast reconstruction. Here, the doctors looked after me with great care. The lower staff is also praiseworthy. I once went to a hospital in Rawalpindi and I came back without going to the doctor because of the environment and substandard services. Now I never think of going anywhere else.

Patient: Aisha Sohail

City: Islamabad

Clinic: Plastic Surgery

Consultant: Dr. Mamoon Rashid



Mother and child have a beautiful and strong bond that can be best taken care of at Shifa International Hospital owing to the highly trained and qualified professionals along with state-of-the-art technology of Obs/Gynae and Pediatrics departments.

Obs/Gynae One of the busiest tertiary care centres of Shifa is the Obs/Gynae department which has achieved the status of a referral centre. The department houses 56 beds including 5 labor beds. We provide services for all major and advanced conventional surgeries and also have a full range of endoscopic surgeries (laparoscopy, hysteroscopy). Fluoroscopy of fallopian tubes and mammography are also available.

We deliver around 2500-3000 babies every year. We have successfully delivered b a b i e s even as small as 26 weeks. Our department is backed by the Pediatric Department which has hi-tech neonatal ventilators. The department’s out-patients have reached around 36000 and in-patients around 8000.

The department offers Epidural analgesia, and antenatal/intranatal fetal monitoring 24/7. We plan to get intensive care and first stage labor beds. The department is also into training; 16 postgraduate trainees [MCPS, FCPS, MRCOGS, UK] and six house officers are getting trained as recognized by CPSP, RCOG (UK) and PMDC.

Projects in our pipeline are:

1. Expanding Satellite OPD services in Rawalpindi and Islamabad. 2. Assisted Reproductive Therapy like IUI (already being practiced), IVF, ICSI and the whole range.3. Stem Cell Therapy for various ailments in collaboration with “STEM LIFE” Malaysia. One patient has already been

investigated. In this connection we will soon develop “Fetal Cord Blood Bank”.4. Chorion Villous Sampling of fetus for various congenital and genetic problems. 5. In few days time we will be inaugurating a full-fledged Shifa International Hospital in G-10/4, Islamabad. This will help

us in catering to the growing needs of the patients seeking tertiary care from us.

Mother & Child Health

indeed a Wonderful ExperienceI came here for the first time when I was expecting my first child. The doctor’s attitude was very warm and polite with me till the end. Patients who get treated here once find it difficult to get treatment from some other hospital. The hygiene standards are well met here. Be it the patient rooms, OT rooms or the reception, everything is tip top and clean. This is something highly essential when considering the standard of a hospital. I had no other choice but to keep my first child with me in the hospital when I had my second c-section. I could do this only because I was satisfied with the hygiene standards. My experience with Dr Huma was so wonderful that I didn’t go to any other doctor during the second time. The best thing about Shifa is that every patient leaves satisfied from the hospital. I grade SIH as the number 1 hospital.

City: Islamabad

Clinic: OBS/Gynae

Consultant: Dr. Huma Tasleem

Patient: Misbah Khurram


Pediatrics One of the oldest departments of Shifa International Hospital is the Pediatrics which provides primary care facility including but not limited to, well-child clinic, vaccinations, developmental assessment and 24/7 service through Emergency Department. The outpatient, inpatient, neonatal intensive care unit and pediatric intensive care unit are available here.

Our faculty is considered to be of highest caliber in the region catering large area of northern Punjab, KPK, AJK and neighboring Afghanistan as well. We have eleven faculty members; post-graduate degree holders from USA, UK and Pakistan.

The Pediatrics patient has turnover of more than 35000 per year. Up to 3000 children are born every year in the hospital. About 20 percent of all the newborns are at high risk and need level-II or level-III care during their stay in the hospital. The department houses 73 beds that include 32 neonatal intensive care beds. A well equipped 9 bedded Pediatric intensive care unit has recently been established and a full time Pediatric Intensive care specialist is on board who would manage post-op pediatric cardiothoracic surgery patients as well.

We offer sub-specialty services in the disciplines of pediatrics gastroenterology and liver transplant, pediatrics nephrology, urology and renal transplant, pediatric intensive care unit, pediatric hematology/oncology and bone marrow transplant. The department fortunately had a pediatric surgeon on board who provides pediatric and neonatal surgeries.

Department of Pediatrics has been recognized by College of Physician and Surgeons of Pakistan for FCPS and MCPS training. As for now, 27 postgraduate trainees and 15 house officers are being trained in the department.

With the department of Critical Care and Pulmonology Medicine, Shifa has the honor of being the only hospital in Pakistan that offers critical care services with largest number of beds (100 plus).

The department offers a variety of services to patients with pulmonary problems. Our highly experienced and foreign trained consultants manage patients according to the International trends and concept of “Closed ICU”.

We have state-of-the-art equipment like Bronchoscopy suite which is laced with two fiber optic Olympus Bronchoscopes, new Raphael Silver Ventilators and Nelcor Puritan Bennett Ventilators, Pulmonary function lab Vitalograph and BEARS Non-invasive Ventilator.

The department is not far behind when it comes to academics, a fellowship program is offered in Critical Care Department. Other than this, we have also made efforts to improve patient care with round-the-clock availability of a Medical Specialist in ICU. Moreover, to decrease mortality level in critically patients in ICU, we have initiated CRRT in the department. Shifa International hospital is one of the three hospitals in Pakistan to have started CRRT.

Critical Care & Pulmonary Medicine

i can do my work independently nowI came here when I suffered from pneumonia and got water in my lungs. I earlier went to another hospital but did not feel better. I even went to Lahore but did not find relief. After this my son took me to Singapore but came back after getting unsatisfactory treatment even from there. After coming back, someone told me to visit SIH. My health started getting better rapidly after my treatment started here. Now I just come here for follow-ups. Nature has gifted these doctors with healing powers in their hands. I am now able to change my clothes on my own, take a bath and walk without support. I had gained excess weight during my illness. But during treatment I reduced 23 kgs. And now I have a normal weight. The doctors here take a lot of care of the patient. They explain everything about the medicine. The nurses and staff are also helpful and kind. As soon as they see me entering the clinic they give me a chair to sit because I cannot stand for long. May Allah bless them all and hope the hospital progresses further.

City: Islamabad

Clinic: Pulmonology

Consultant: Dr. Aftab Akhtar

Patient: Rukhsana Akram


Shifa International Hospital’s Endocrinology and Diabetes Department is one of the crucial and busy departments. It

not only diagnosis and manages patients with diabetes, but also treats obesity, hormonal disorders, thyroid problems, short stature,

pituitary/adrenal/bony disorders and metabolic syndrome – both in the outpatient and inpatient areas. But majority patients come for treatment of Diabetes Mellitus type 2 which is the most common Endocrine disease. We provide all services including prevention, medical management, education, nutrition, foot and eye care to these patients. The department is greatly supported by highly skilled and professional nursing staff.

The patients are facilitated by Shifa’s well-equipped laboratory and radiology departments where all sorts of

hormonal tests are conducted.

We are actively involved in public awareness programs, educational activities and medical research. We celebrate public awareness programs on “Diabetes and Ramadan” and “World Diabetes Day” every year.

Endocrinology and Diabetes

Department

a remarkable ExperienceI am a doctor and I believe Shifa has no match. It’s been a year since I am getting treated for diabetes. One of my friends suggested me to visit Dr Osama. And my experience with him has been remarkable. I have benefitted a lot from his treatment and suggestions. I am given a call a day before my appointment and even sent a text message as a reminder. This is Just one of many best things about Shifa.

City: Rawalpindi

Clinic: Endocrinology

Consultant: Dr. Osama Ishtiaq

Patient: Dr Badar Alam


With increasing numbers of allergy patients in the region, Allergy/Clinical Immunology Department is a highlight especially when seasonal allergy problems strike. The clinic provides state of the art care for patients suffering from all kinds of allergic diseases, including but not limited to allergic skin diseases, urticarias, contact dermatitis, allergic rhinitis allergic conjunctivitis, allergic bronchial asthma, atopic dermatitis drug allergies and food allergies.

We perform modern methods of allergy skin tests and immunotherapy at Shifa. Sublingual immunotherapy for selected allergens is also offered here. The department takes special interest in life threatening anaphylactic disorders and insect sting allergies. Our main goal is to educate patients and their families about their illnesses so that they have a better understanding of their disease and treatment.

The department has a board certified Allergist/Immunologist with thirty years of clinical experience in the field.

Allergy & Immunology Medicine

The doctors have healing powersThe nursing staff at SIH is commendable. I have not seen such professionalism in government or private hospitals. I had a breathing problem and I visited various hospitals for treatment. I spent hundreds of thousands rupees but did not get better. When I came here, Dr Athar recommended an allergy test and prescribed medicines. After just taking the second dose I could stand and pray at Tahajud. Earlier I used to get breathless with just few steps. Honestly, the doctors here are highly skilled and Allah has bestowed shifa (healing powers) in their hands. Moreover, the staff on counters are professional too. In other hospitals people have to face a lot of humiliation and then get the fee submitted. At Shifa, all the steps including fee submission, check up and buying medicines are easy. Hospitals should be built in Shifa’s manner.

City: Jhang

Clinic: Allergy & Immunology

Consultant: Dr. Athar Niaz Rana

Patient: Mohammad Ishaq Rana


Psychiatry

learned to control my angerI am a patient of SIH since last 10 years. I was previously a patient of Dr Fawad Kaiser. But after he left for UK, I started consulting Dr Abdul Wahab. The best thing about him is that he listens to the patient very calmly and carefully. I feel so good after talking to him. I realize that he sees so many patients in a day and helps them overcome their problems. If I would have been in his place I would not be able to tolerate so much. I appreciate that Shifa has such a strong person like him who can tolerate all such things. I was unable to control my anger but since the past 4 months I have learnt to control it. And this is simply just because of Dr Yousafzai.

City: Islamabad

Clinic: Psychiatry

Consultant: Dr. Abdul Wahab Yousafzai

Shifa’s Psychiatry Clinic has excellent expertise in the provision of clinical,

academic and therapeutic services to adults and elderly for behavioral and

psychiatric disorders. We have four qualified and experienced Psychiatrists and a senior registrar who conducts clinics every day. The department also offers personal psychotherapeutic care for individuals, couples and families with emotional and psychological distress and addresses drug addictions and related psychiatric disorders. Moreover, the department also houses two psychologists who perform pediatric evaluations. If required, patients are also admitted for more intensive care.

Patient: Nabeela Meer Rind


The department of Dermatology provides services in the clinical, academic and therapeutic fields. All kinds of skin, nail and hair diseases are taken care of here. We treat children, adults and elderly of both genders. The clinic is equipped with dealing in cosmetic problems and skin diseases related to environmental and industrial ill-effects.

We perform skin biopsies and remove moles, cysts and warts. The department is also responsible for specimen collection for bacterial, fungal & viral infections for further laboratory tests. Patients in remote areas can benefit from our telemedicine service.

The department looks forward to extend its services further in the field of Laser therapy.

Dermatology

loving and Caring PeopleI came to Shifa for my acne problem, which is now almost vanished. Thanks to Dr Rasheed. He gives a lot of respect to the patients. The staff here is so loving and caring. I have been to many hospitals but they are so filthy. They don’t care about the cleanliness. And the staffs’ treatment with the patients is also bad. But we don’t see any such thing here. I would suggest others that if they want to get the best treatment in a clean environment then Shifa is the best option.

City: Islamabad

Clinic: Dermatology

Consultant: Dr. Rasheed A. Chaudhry

Patient: Sapna Umar


shifa helped me reduce weight healthilyI am getting treatment from Shifa since past 3 years. I came here for weight reduction. When I came here for the first time I weighed 92 kgs. Dr Rezzan helped me loose 20 kgs in 6 months time. And I maintained my weight for 2 years. After the birth of my second child and then not exercising or taking care of what I ate, I regained the weight and reached to 78 kgs. I came to Shifa again and now that I am following the doctor’s plan my weight has dropped by 7 kgs. I trust Shifa for helping me reduce weight in a healthy manner. Never have I felt dizzy or weak during this time. And no one tells me that I have become pale or look ill. I also did not feel sluggish or inactive during the treatment. I am doing all my work actively and with complete energy. There is no hospital like Shifa in the city. I have recommended this hospital to many of my friends.

City: Islamabad

Clinic: NutritionMedicine

Consultant: Dr. Rezzan Khan

The Nutrition department caters to the needs of patients regarding nutritional management and helps the patient set a roadmap towards a desirable nutritional status and healthier lifestyle. We focus on the impact of foods and nutrients on health and disease management. Our special nutrition programs include hyperlipidemia, diabetes, eating disorders and hypertension treatment. Depending on the

patient’s condition, the extended treatment program service is offered as a continuation of

the above mentioned treatments.

Nutrition therapy provides the nutrient prescription that involves an oral diet, dietary supplement, enteral

and parenteral nutrition for caring of hospitalized and home patients. At Shifa, new and improved diets and delivery

techniques are used to administer nutrients both safely and effectively, based on the latest research available globally.

We offer tailor-made nutritional plans for every patient, depending on the patient’s life-style, eating habits and medical history. The hospital has state-of-the-art computer assessment tools to precisely determine the fat, lean body mass and water contents of the patient’s body, and the patient’s unique basal metabolic rate by the Body Composition Analyzer. This can help to determine the goal of the tailored nutritional plan for the patient. For weight management, patient receives a potent behavior modification training and cognitive restructuring in order to remove the underlying causes of excess weight. The department also provides supervised, patient specific healthy diet and exercise plan which is designed to achieve permanent weight management.

Nutrition-Medicine

Patient: Kinza Faisal


Shifa’s Anesthesia Department is the only private hospital in the capital city that provides Pain Medicine facility. The department has modern modalities

and highly trained therapists for managing pain. The Pain Management clinic covers prevention, treatment and alleviation of chronic and

acute pain like cervical and lumbar radiculopathies, arthritis etc. Patients of Cervical spondylosis, lumbar spondylosis etc. can

benefit from this service. Our pain management team includes medical practitioners, clinical psychologists, physiotherapists,

occupational therapists, and nurses.

The primary function of the department of Anesthesiology is to provide all types of surgical procedures, including but not limited to, adult cardiothoracic, congenital cardiac, neurosurgical, major vascular, transplant, general, urological and Obs/Gyne surgeries. We also provide anesthetic care to MRI, CT and ultrasound guided procedures. The department also provides additional anesthesia services like pre-anesthesia evaluation, epidural anesthesia, patient controlled analgesia, acute pain management and chronic pain management.

Our anesthesiology program is fully recognized for PG training by College of Physicians & Surgeons of Pakistan.

We have nine state-of-the-art Operation Theaters that have the most modern and latest instruments and

equipment. Excellent infection control is the hallmark of our operation theaters.

Anesthesia & Pain Management

shifa’s existence in islamabad is a blessingIt’s been almost five years since I am getting treatment from Shifa. I have been to various clinics and I found all the consultants really good especially Dr Salman. He is highly professional and friendly at the same time. He carefully listens to the patients’ problems and gets to the right solution. The staff and nurses are also well-mannered. They are patient and polite. SIH’s existence in Islamabad is a blessing.

City: Islamabad

Clinic: Pain clinic

Consultant: Dr. Salman Saleem

Patient: Malik Zubair


shifa gave me hope for lifeI came to SIH for the first time in 2009 for a surgery. I was getting treatment from Abbottabad before that but they were not capable enough to treat me further so referred me to Shifa. Dr. Ghulam Siddiq took my problem as a challenge. Shifa gave me hope for life at a time when I had lost all hope. My experience with Dr. Ghulam Siddiq is so wonderful since the first day. He meets me with warmth and love. He makes the patients feel at home and talks in a friendly manner. My communication with the staff and nurses was also positive. I am satisfied with the treatment I received at Shifa. And if anyone wants any sort of treatment they should definitely come to Shifa.

City: Mansehra

Clinic: Surgical

Consultant: Dr. Ghulam Siddiq

The General Surgery Department of Shifa International Hospital offers minimally invasive or laparoscopic techniques to treat various conditions. Our highly qualified and professional surgeons routinely perform surgeries including gallbladder, appendix, hernia, colon and rectal cancer and splenectomy are being done routinely with this technique to benefit patients with early recovery. We take pride in being the region’s first hospital to offer laparoscopic sleeve gastrectomy for surgical weight loss giving patients chance to live a longer and healthier life.

Our aim is to provide most compassionate and high quality care to our patients. By using latest techniques, we strive to provide best treatment in routine and complex surgical conditions. We offer cost effective solutions to patients with collaborative or multidisciplinary approach.

Yet, another feather in our cap is the training of young surgeons through fellowship (FCPS) program and medical student rotations. General surgery department of Shifa intends to add new state-of-the-art operating rooms in near future as it continues to grow and expand its services.

General Surgery

Patient: Syed Saabir Ali


Shifa International Hospital’s ENT department offers specialized treatment for adult and pediatric patients. The five qualified and experienced consultants provide services for routine ear, nose and throat related problems and also deal with complex procedures related to head and neck tumors. Other than this, the doctors

look into matters including but not limited to ear ache, ear discharge, hearing loss, vertigo,

tinnitus, ear wax, sinusitis, nasal allergies, nasal polypi, deflected nasal septum, epistaxis (nasal

bleeding), tonsillitis, snoring and sleep apnea, voice problems and neck swellings.

The department is fully geared with equipments like audiometer, tympanometer, video otoscope, microscope

for ear examination, APC (argon plasma coagulator) for nasal turbinate reduction, flexible nasolaryngoscope and rigid

nasoendoscospes. FESS (functional endoscopic sinus surgery) by highly skilled ENT

surgeons is an attraction for many patients from Pakistan but also from neighboring countries like Afghanistan.

We work in close association to plastic surgeons, oncologists, immunologists as well as radiologists for the treatment of many diseases. The department also offers rehabilitation services for which a speech therapist is available.

Ear, Nose and Throat

i am really satisfied and happyI had tonsillitis and was getting treatment from another hospital. But I didn’t get any relief. When I came to Shifa I felt a great difference. Physicians pay attention to the patient’s problem really minutely. I could only get rid of my problem after I came to this hospital. And I am really satisfied and happy now. The time I spent with the nurses was excellent. They talk to the patients calmly and politely. I will give 95 percent marks to the hospital. I will give the remaining 5 percent after I become completely alright.

City: Islamabad

Clinic: ENT

Consultant: Dr. Zafar Iqbal

Patient: Aqsa Aftab


i recommend shifa to friends and relativesI came here last week and was in a lot of pain. The staff at the reception was efficient and helpful. Dr Imtiaz took time to examine me and gave me the required medicines. I had my tooth extracted which was done with great expertise and to my surprise I felt no pain. Shifa is an excellent hospital with some of the best doctors in Pakistan. I highly recommend it to my friends and relatives.

City: Islamabad

Clinic: Dental

Consultant: Dr. ImtiazAhmad

The Centre of Implant Dentistry, Orthodontics & Dentofacial Orthopedics (CODO). The Dental Clinic has become the Centre of Excellence in its field and has grown into a state-of-the-art modern clinic since its inception in 2001. The six consultants are foreign qualified and specialists in their respective fields. We also have two medical officers in the department. We offer Restorative dentistry, Implant dentistry, Oral Surgery, Orthodontics, Pediatric dentistry, Prosthetic dentistry, Periodontology and Endodontics. Other than this, we provide tooth whitening, smile makeover and aesthetic dentistry services too.

We take pride in being the first centre in Islamabad to provide lingual braces/invisible braces, which are fitted behind the teeth.

The department has five dental surgery rooms, equipped with hi-tech dental chairs, digital X-rays and other necessary accessories. There is a separate room for sterilization, which is equipped with type B latest autoclaves. The instruments are scrubbed manually and cleaned, washed in the ultrasonic bath and then packed in the pouches and sterilized in the autoclaves.

Our beautiful and spacious waiting area is designed to be child-friendly and suitable for patients with special needs.

The increasing number of patients over the last decade is a proof that our patients have complete confidence in our high quality services. The department strives to provide the best quality of dental care to the patients in the hospital.

Shifa Dental Clinic

Patient: Hirra Junaid


recognition

Shifa Consultants withH. E. President

Islamic Republic of PakistanSyed Mamnoon Hussain

Our Consultants - Our Pride

ALLERGY & IMMUNOLOGY

Dr. aThar niaZ rana Diplomate American Board of Pediatric and Adult Allergy and Immunology and former president Allergy Society, West Texas for 10 years, Dr. Rana finished Residency training from Jersey Shore, University Hospital and Fellowship from Rush University, Chicago, USA. He is presently working as Head of Allergy Asthma & Immunology Clinic in Shifa International Hospital.

ANESTHESIOLOGY

Dr. shaWkaT M. MaTabDin Senior Supervisor of Anesthesia at SIH, Dr. Shawkat is a Member of General Medical Council (England) and Association of Anesthetist of GB & Ireland. He graduated in Medicine from Egypt and took further training from Royal College of Physicians & Surgeons England. He also worked as Consultant Anesthetist in Lister hospital, herts, uk. his area of interest is obstetrics & neurosurgical anesthesia and anesthesia for Plastic surgery.

Dr. MuhaMMaD ashraf Consultant Anesthesiologist at SIH for eleven years, he is also serving as Director of Residency Program, Director Operating Rooms and Chief of the Department. His areas of interest are FCPS Training, Neonatal and Pediatric Anesthesia, Labor Analgesia and Neuro Anesthesia.

Dr. briG* MuhaMMaD ZaMEEr With 22 years of experience in Cardiothoracic Anes-thesia, he is working as a Consultant Anesthetist in Shifa International Hospital and as Profes-sor of Anesthesia at Shifa College of Medicine.

Dr. M. nasir aYub khan He is a Consultant Anesthesiologist at SIH with Graduation and Diploma in Medical Education from University of Dundee, Scotland. He is a vital part of our Liver Transplant team and presently working on the measurement of educational environment of postgraduate institutions of twin cities.

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Dr. MasooMa saEED A Graduate of Sindh Medical College Karachi, she is working as ConsultantAnesthetist at SIH. She has completed her Residency Training from Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

Dr. salMan ahMaD salEEM Dr. Salman is a Consultant Anesthesiologist at Shifa International Hospital. His special interest involves Pain Management and he is among the pioneers of Pain Clinic at SIH.

Dr. shahiD JaVaiD Dr. Javaid is a graduate of Nishtar Medical College, Multan and is a Fellow of College of Physicians and Surgeons, Pakistan. Dr. Javaid has worked as Associate Professor of Anesthesiology at Islamic International Medical College, Rawalpindi before joining SIH. He has over 27 years of clinical experience which includes 8 years of teaching experience in Anesthesia & Intensive Care. Currently working as Consultant Anesthesiologist at SIH.

Dr. EiTZaZ uD Din khan Dr. Etizaz has done his graduation along with a Diploma in Anesthesiology from Nishtar Medical College, Multan. He is also a Member & Fellow of College of Physicians & Surgeons Pakistan. Currently working as Associate Consultant Anesthesiologist at SIH.

Dr. aZaM khan Dr. Azam is a graduate of Khyber Medical College, Peshawar and has done Fel-lowship from College of Physicians and Surgeons, Pakistan. With enviable experience of several years as Assistant Professor Anesthesiology at Rehman Medical College and Peshawar Medical College, he has also served at different hospitals of Pak Army in various capacities. Currently working as Associate Consultant Anesthesiologist at SIH.



CARDIOLOGY

Dr. shafi ur rEhMan He is a graduate of Army Medical College, Rawalpindi. Having Fellowship & Membership in Anesthesia from College of Physicians & Surgeons, Pakistan, Dr. Shafi Ur Rehman is currently serving as an Associate Consultant Anesthesia at SIH.

Dr. abDullah lashari Dr. Lashari is a graduate of Allama Iqbal Medical College, Lahore has done Fellowship in Anesthesiology from College of Physicians & Surgeons, Pakistan. Currently serving as an Associate Consultant, Anesthesia at SIH.

Dr. habib-ur-rahMan Dr. Habib is Diplomate American Board in Internal Medicine and Cardiovascular Diseases. He is also a Member American College of Physicians, American College of Cardiology, Pakistan Cardiac Society and Life Savers Foundation. He completed Residency from DC General Hospital Washington, Wayne State University Program Detroit Michigan, Wright State University Ohio and is serving as Consultant Cardiologist and Program Director Cardiology Postgraduate training program.

Dr. MohaMMaD asaD a. salEEM Diplomate American Board of Internal Medicine, American Board of Cardiology and American Board of Electrophysiology, Dr. Asad is presently working as Head, Department of Cardiology, Consultant Cardiologist and Electrophysiologist at Shifa.

Dr. MuhaMMaD abDul aZiM Dr. Azim is graduate of Allama Iqbal Medical College. He has done his Fellowships in IM & Cardiology from College of Physicians & Surgeons, Pakistan. Dr. Azim has completed his residency from AFIC, Rawalpindi. He is presently serving as Consultant Cardiologist at SIH.


CARDIAC SURGERY

DERMATOLOGY

Dr. saEEDullah shah A graduate from Khyber Medical College, University of Peshawar.He is a member of Royal College of Physicians and has accreditation of Transthoracic & TransesophagealEchocardiography from British Society of Echocardiography. He is also accredited in Cardiac CT and Cardiac MR. His main areas of interests are Heart Failure, Cardiac Imaging & Cardiovascular Research. He is Consultant Cardiologist at SIH.

Dr. Yusuf hassan A graduate of King Edward Medical College, Lahore and a Member of Royal College of Physicians, UK. Dr. Yusuf is Board Certified in Internal Medicine, Cardiovascular disease, Interventional Cardiology, Echocardiography and Nuclear cardiology. Currently working as Consultant Cardiologist at Shifa International Hospitals Ltd.

Dr. M. TauqEEr akbar A Fellow of Royal College of Surgeons with Fellowships in Cardiothoracic Surgery and Anesthesia & Intensive Care. He has worked at various hospitals of UK & Ireland which include Basildon & Thurrock University Hospital, Royal Prompton Hospital, Northern General Hospital of UK and Mater Hospital, Our Lady’s Hospital and St. James’s Hospital of Ireland. He also has a Diploma in Management for Medical Doctors. Currently he is employed at SIH as Consultant Cardiothoracic Surgeon.

Dr. fariDullah khan A Fellow of Royal College of Surgeons Edinburgh, UK, Dr. Faridullah hasvast experience of more than 20 years in the field of Cardiothoracic Surgery. Presently working as part time Consultant Cardiac Surgeon in Shifa International Hospital. He is professor & head of Department Cardiology, PIMS, Islamabad.

Dr. rashEED ChauDhrY A graduate of Nishtar Medical College, Multan with vast experience of working as a Dermatologist, Dr. Rasheed Chaudhry, Consultant Dermatology, D.Derm (Pak) is working as Consultant Dermatologist at SIH.



Dr. ahsan haMEED A Fellow of College of physicians & Surgeons in Dermatology. Dr. Hameedreceived Leadership award for outstanding services to Dermatology and research from AmericanBiographical Institute. He is presently working as Professor of Dermatology at SCM and Consultant Dermatologist at SIH.

Dr. aaMna baTool khan A Member & Fellow of College of Physicians & Surgeons of Pakistan.Dr. Aamna has previously worked at PNS Shifa Hospital, Karachi. Currently she is serving as Associate Consultant Dermatologist at SIH.

Dr. riaZ a. shEikh Diploma in Dermatology & Venereology from Vienna University (Austria), Dr. Sheikh was awarded honorary fellowship by Royal Society of Health, UK. With over 25 years ofexperience, he is presently serving as Consultant Dermatologist at Shifa Medical Center F-11, Islamabad.

Dr. noshEEn riZWan A graduate of Rawalpindi Medical College and has done her Diploma in Dermatology from Royal College of Physicians & Surgeons, Glasgow. Presently working as Dermatologist at Shifa Medical Centre, F-11.

DENTAL SURGERY

Dr. iMTiaZ ahMED With Trainings from University of London, Royal Australian College ofDental Surgeons Sydney and London General Dentistry, Dr. Imtiaz is working as Consultant Dental Surgeon at Shifa International Hospital. He performs full range of Restorative Dentistry like Restorations, Root Canal Treatments, Crowns, Bridges, Ceramic & Metallic Inlays, Procelain Veneers, Cosmetic Dentistry including Smile Makeovers, Tooth Whitening & Dental implants.


Dr. sYED haMiD nasr Consultant Dentist at Shifa International Hospital, Dr. Hamid got Fellowship of FDRCS, UK. He graduated from Montgomery College of Dentistry Lahore and also served in Saudi Arabia after foreign trainings.

Dr. anWar ali shah He graduated from Khyber College of Dentistry, University of Peshawar and is a Fellow of Royal College of Surgeons of Edinburgh, Ireland & England. He has also got CCST in Orthodontics from GDC, UK in addition to his Ph.D in Orthodontics from University of Sheffield, England. He has over 16 years of practicing and teaching experience in his field. He has over 30 publications in International Journals. He is examiner to the Royal College of Surgeons of Edinburgh. Currently practicing as Consultant Orthodontist at SIH.

Dr. noEEn arshaD Dr. Noeeen is the only dual trained orthodontist & pediatric dentist in Pakistan. He is Diplomate American Board of Pediatric Dentistry & Fellowship in restorative dentistry from Royal Australian College of Dental Surgeons, Sydney. In addition he has master degree in Orthodontic from the eastern Dental Institute, UK. Member of different professional organizations like American Academy of Pediatric Dentistry, World Federation of Orthodontists and American Association of Orthodontists. Currently employed as Consultant Orthodontist & Pediatric Dentist at SIH.

Dr. M. aZhar shEikh A Graduate from De’Montmorency College of Dentistry, Lahore, he is aFellow of Royal College of Surgeons of Ireland, UK. His further qualifications are FDS, RCS, FFD RCS and FDS Oral Surgery from UK. His fields of interest are Dental implantology, Trauma & Orthogmathic Surgery. He served in UK for more than 20 years with memberships in multi-health sectors including British Association of Oral & Maxillofacial Surgeons. He is working as Dental Surgeon at SIH.

Dr. MoniZa abEDi sohail Currently serving as Consultant Dental Surgery at Shifa MedicalCenter F-11, Islamabad, Dr. Moniza graduated from Baqai Medical & Dental College and is certified in Cerec 3D Technology from USA.



EMERGENCY

Dr. uZMa noor Dr. Uzma did her Bachelors in Dentistry from Liaqat University of Medical and Health Sciences. In addition she has Masters Degree in Orthodontics from Xiangya College of Dentistry Central South University, Changsha P.R.China. She is presently serving as Dental Surgeon at SMC F-11. State University Ohio and is serving as Consultant Cardiologist and Program Director Cardiology Postgraduate training program. Washington, Wayne State University Program Detroit Michigan, Wright State University Ohio and is serving as Consultant Cardiologist and Program Director Cardiology Postgraduate training program.

Dr. abDus salaM khan A graduate of DOW, class of 1990, Dr. Abdus Salam completed residency in internal medicine from Mount Sinai, NY, USA. He is Diplomate American Board of internal medicine. He worked for quite some time as ER Physician, Hospitalist and primary care physician in different parts of Florida, USA. Presently he is serving as Director of ER at SIH.

Dr. khaWaJa JunaiD MusTafa He is a graduate of Rawalpindi Medical College and a Member of College of Emergency Medicine, UK. He has worked as a Consultant Emergency Medicine in Weston General Hospital, Somerset, UK. Currently serving SIH as Associate Consultant, Emergency Medicine.

Dr. huMa husnain A graduate of Quaid E Azam University and a Member of Royal College of Physicians, UK. Previously she has worked as Assistant Consultant, Emergency Medicine at SIH. Currently working as Associate Consultant Emergency Medicine at Shifa Internationals Ltd.

Dr. naDia aMan A Fellow of College of Physicians & Surgeons Pakistan. She has completed her residency from Aga Khan University Hospital in Operative Dentistry. Currently employed at SIH as Associate Consultant Dental Surgeon.


ENDOCRINOLOGY

ENT

Dr. nasiM Yusuf A Fellow in Endocrinology from McGill University, Montreal (Canada),Dr. Nasim is presently working as Consultant Endocrinologist at SIH. She was working in the same capacity at Reddy Memorial Hospital and Royal Victoria Hospital. Her areas of expertise and interest include thyroid, pituitary, adrenal, sex hormones problems, obesity, metabolic disorders, hirsutism, growth problems and calcium and bone problems.

Dr. osaMa ishTiaq Member & Fellow of College of Physicians & Surgeons, Pakistan, did Fellowship in Diabetes, Endocrinology / Metabolism from AKUH and also Fellow of American College of Endocrinology. Dr. Osama is a member of Endocrine Society USA and Pakistan Endocrine Society. Having over 15 research papers to his credit, he also pioneered Pakistan’s first online database of Pakistani Medical Journals. Currently working as Consultant Endocrinologist at SIH. His special interest includes Clinical Research, Tele Medicine & HMIS.

Dr. M. TaYYab baDshah Dr. Tayyab graduated from King Edward Medical College, Lahore. He completed his postgraduate medical training from Louisiana State University, New Orleans, Louisiana, USA. He is Diplomate, American Board of Endocrinology, Diabetes &Internal Medicine. Currently he is working as Consultant Endocrinologist and Diabetologist at SIH.

Dr. Zafar iqbal An experienced ENT Surgeon, Dr. Zafar performs all type of ENT surgeries. His areas of special interest are Rhinology and Ear Surgery. He is serving as Consultant ENT at Shifa International Hospital.

Dr. M. Zaffar rabbani Serving as ENT Consultant at Shifa International Hospital and Head ofENT Department in Shifa College of Medicine, Dr. Zaffar is Fellow of College of Physicians and Surgeons. His special interests include Rhinology, head and neck surgery and Otology.



Dr. baDar us salaM Dr. Badar is graduate of Khyber Medical College. He did his residencytraining in various hospitals in UK and Ireland. Dr. Badar is a Fellow of Royal College of Physicians Edinburgh. Recently he is working as Consultant ENT Surgeon at SIH.

Dr. sariM h. loDhi He is a graduate of Dow Medical College, Karachi and has done hisFellowship from Royal College of Surgeon, Glasgow. Dr. Lodhi has worked as Consultant ENT Surgeon, at Hill Park General Hospital, Karachi prior to joining SIH family. In UK, he has served over 14 years in hisfield. Currently serving as Associate Consultant ENT.

Dr. M. Yasir khan Dr. Yasir is a Fellow of College of Physicians and Surgeons, Pakistan. His special interest is Otology. Currently working as Associate Consultant ENT Specialist at Shifa Medical Centre, F-11, Islamabad.

EXECUTIVE PHYSICAL & EMPLOYEE HEALTH

Dr. rEshMa aZiZ Dr. Reshma is a graduate of Dow Medical College, Karachi and has done her Masters in Pediatric Surgery from the University of Dhaka. In addition she has got certifications in Clinical Ultrasound, Clinical Diabetology and Colonoscopy. Dr. Reshma has previously worked as an Associate Consultant and Department Head for executive Health at Square Hospital Ltd. Dhaka for about 8 years. Currently working as Associate Consultant Executive Physical and Employee Health at SIH.


GASTROENTEROLOGY

Dr. nasir khokhar Diplomate American Boards of Internal Medicine and Tropical Medicine, Dr. Khokhar is Member of American College of Gastroenterology. He did Residency from Wright StateUniversity Hospitals Dayton, Ohio, and Fellowship at University of Illinois, USA. His rich experience includes service as Chairman Department of Medicine Pekin Hospital, USA. Presently he is working as Consultant Gastroenterologist and Head of Gastroenterology at SIH. Patient care, Research and Education are his areas of interest.

Dr. shahEEn M. MufTi With graduation in Medicine from KEMC, Dr. Shaheen is Diplomate American Board of Internal Medicine. Currently she is working as Consultant Internal Medicine and Gastroenterology at SIH.

Dr. saEED ZaMEEr Diplomate American Board of Gastroenterology and American Board of Internal Medicine, he comes with several years of work experience as Consultant Gastroenterologist in the US. He is currently working as Consultant at SIH.

Dr. farZana shafqaT With more than 30 publications in national and international MedicalJournals, Dr. Farzana is presently serving as Consultant Gastroenterologist & Supervisor of Gastroenterology fellows at Shifa International Hospital. Her experience includes serving as Assistant Professor at Shaikh Zayed Postgraduate Medical College.

Dr. naJMul hassan shah He is Consultant Gastroenterologist & Hepatologist and Director of Liver Transplant Program at SIH. His special interest includes Liver Transplantation, Hepato-Cellular Carcinoma and Therapeutic ERCP.



GENERAL SURGERY

Dr. MohaMMaD salih A graduate of Khyber Medical College. He is a fellow of College of Physician & Surgeons Pakistan in Gastroenterology and Internal Medicine. He has completed his residency in Internal Medicine from Sheikh Zayed Medical Complex, Lahore and Fellowship in Gastroenterology from AKUH. He got his trainings for Endoscopic Ultrasound from Malaysia and for Liver Transplant from USA. Currently serving SIH as Consultant Gastroenterologist.

Dr. GhulaM siDDiq Working as Chief of Surgery & Consultant General Surgeon at SIH, Dr. Siddiq is a seasoned surgeon. A Fellow of Royal College of Surgeons, his special interests include Laparoscopic Surgery, Bariatric surgery, Pancreatobiliary Surgery and Colorectal Surgery. He has extensive experience in major abdominal surgeries.

MaJ. GEn. (r) Dr. M. a. hashMi Author of a book and over 45 research articles, he is serving as aProfessor of Surgery and Consultant General Surgeon at SIH. He has dual Fellowships, from Royal College of Surgeons Edinburgh, UK in General Surgery and from College of Physicians and Surgeons in Pediatric Surgery. He has worked in UK, Saudi Arabia and Pakistan.

Dr. arif Malik Diplomate American Board of Surgery with Fellowship in Laparoscopic, Bariatric and Robotic surgery (USA). He is a Member of Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Currently working as Consultant General Surgeon & Director Surgical Services at SIH. His areas of interest include minimal access surgery, laparoscopic sleeve gasteceomy for weight loss and breast cancer surgery.

Dr. MohaMMaD aMir A graduate of King Edward, he postgraduated from College of Physicians and Surgeons Pakistan and Royal College of Surgeons UK. Presently working as Professor of Surgery in SCM and Consultant General Surgeon in SIH. Special Interests include Laparoscopic Surgery, Colorectal with emphasis to Fistula, Hemorrhoids, Thyroid and Breast Diseases.


Dr. MohaMMaD iqbal With enviable experience of over 50 Years & teaching experience of about 40 years, Dr. Iqbal is presently serving as Consultant in Shifa International Hospital and Professor of Surgery in Shifa College of Medicine. He graduated in 1963 and earned postgraduate qualification from Royal College of Surgeons, Edinburgh in 1968. He has also been awarded FCPS by College of Physicians & Surgeons, Pakistan. His areas of special interest include Laparoscopic and Endocrine Surgery.

Dr. saEEDa YasMin She graduated from Rawalpindi Medical College, Rawalpindi. She is also a Member and Fellow of College of Physicians and Surgeons, Pakistan. Dr. Yasmin has previously worked as Senior Registrar in General Surgery at Shifa College of Medicine. She is currently working as Associate Consultant General Surgeon at SIH and SMC F-11 and Assistant Professor at Shifa College of Medicine

Dr. Tahir hussain Trained in General and Vascular Surgery from UK, Dr. Tahir is a Fellowof College of Physicians and Surgeons (Pakistan). He is also a Member of European Society of Vascular Surgery. He is working as Consultant General & Vascular Surgeon at SIH. He has special interest in General Surgery which includes Laparoscopic Surgery, complicated thyroid & neck dissection surgeries.

Dr. MohaMMaD MussaDiq khan A senior Thoracic & Vascular Surgeon, Professor of Surgery and American Board Certified. He is presently working as part time Consultant Surgeon at SIH. He has to his credit decades of illustrious career as a surgeon and academic.

Dr. qaMar hafEEZ kiani A member of Royal College of Surgeons, UK and a Fellow of College of Physicians & Surgeons, Pakistan. He has recently completed his Fellowship in Colorectal Surgery from Guy’s and St. Thomas’ NHS-Trust Hospital London, UK. Currently working as Associate Consultant General and Colorectal Surgery with special interest in diseases of Anus, Rectum and Conlon.



HEMATOLOGY & ONCOLOGY

INFECTIOUS DISEASES

Dr. nasir khan A graduate of Ayub Medical College and a Fellow of College of Physicians & Surgeons, Pakistan. He is also Licentiate of medical council of Canada (LMCC) & Master of Surgery from McGill University, Montreal, Canada. Dr. Khan has previously worked as Assistant Consultant in General Surgery at SIH. Currently working as Associate Consultant General Surgeon at Shifa International Hospitals Ltd.

Col. (r) Dr. salEEM siDDiqui Diplomate American Board of Internal Medicine and American Board of Medical Oncology with Fellowship from Royal College of Physicians, Dr. Siddiqui passed residency from Queens Hospital Centre Jamaica, N.Y, USA. He is presently serving as Consultant Oncologist at SIH.

Dr. kaMran rashiD Diplomate American Board of Internal Medicine, American Board of Oncologyand American Board of Hematology with Fellowship in Bone Marrow Transplant, Dr. Rashid is currentlyworking as Consultant Oncologist at SIH.

Dr. saira hassan She is a Diplomate American Board in Internal Medicine, Hematology & Oncology. She has completed her graduate training in Hematology/ Oncology from Baylor College of Medicine/MD Anderson Cancer Center, Houston. Prior to joining SIH she has worked as Consultant Hematologist/ Oncologist in Shaukat Khanum Cancer Hospital. Presently serving SIH as Consultant Oncologist.

Dr. MahMuD h. JaViD Diplomate American Board of Internal Medicine & Infectious Diseases, Dr. Mahmud got his training in Internal Medicine at Columbia University College of Physicians & Surgeons, NY, Nassau County Medical Center, NY and University of Kansas Medical Center. Serving as a Visiting Consultant Infection Diseases at Shifa International Hospitals Ltd.


INTERNAL MEDICINE

Dr. MaZhar a. MufTi Diplomate American Board of Internal Medicine and Member American Medical Association, American College of Physicians and American Society of Internal Medicine, he did Residency from Indiana University & Wryne State University, USA. He practiced as Medical Consultant in Elmira, N.Y, USA from 1977 to 1993. Since 1993 he is working as Consultant MedicalSpecialist at SIH and also involve in teaching at SCM.

Dr. MahMuD MaJEED Diplomate American Board of Internal Medicine, Dr. Mahmud completedResidency in Internal Medicine from Conemaugh Valley Hospital, Johnstown, PA, USA. He is working as Consultant Medical Specialist at Shifa International Hospital, Islamabad and Assistant Professor of Medicine at Shifa College of Medicine.

Dr. Mian aMJaD sohail Diplomate American Board of Internal Medicine and has Diploma in Cardiology from Hammersmith Hospital, University of London, UK. Member American College of Physicians, Dr. Amjad did Residency from Luthern Medical Center, New York, U.S.A. He is presently working as Consultant Medical Specialist and Director Medical Services at SIH.

Dr. s. TauqEEr a. shah Diplomate American Board of Internal Medicine and Fellow Royal Collegeof Physicians, Edinburgh, Dr. T.A. Shah did Residency from University of Maryland Hospital Baltimore, USA. He is currently serving as Professor in Shifa College of Medicine.

Dr. Tara JaffErY Diplomate American Board of Internal Medicine and Member American College of Physicians. She completed her Residency from University Of Illinois College of Medicine at Chicago. She is serving as Consultant Internal Medicine, Shifa International Hospitals and Associate Professor of Medicine, Shifa College of Medicine.



Dr. aaMEr naZir ahMaD Diplomate American Board of Internal Medicine, Member American Medical Association and American College of Physicians, Dr. Aamer Completed Residency in Internal Medicine from The Mount Vernon Hospital, Mount Vernon, New York. He is serving as Consultant Internal Medicine at Shifa International Hospitals.

Dr. WaJiD Yar khan Diplomate American Board of Internal Medicine, Member American MedicalAssociation and American College of Physicians, Dr. Wajid did Residency from Michigan State University, East Lansing Michigan, USA. He is working as Consultant Medical Specialist at SIH.

Dr. Tahir iqbal A graduate of Rawalpindi Medical College. He is a Fellow and Member of College of Physicians & Surgeons, Pakistan. Presently he is working as Consultant Internal Medicine at Shifa International Hospital.

Dr. uZMa TahsEEn Dr. Uzma is a graduate of Rawalpindi Medical College. She has done her Fellowship from College of Physicians & Surgeons, Pakistan in Internal Medicine. Currently working as Associate Consultant Medicine.

Dr. nahiD Gull A Graduate from Khyber Medical College, Peshawar and fellow of College of Physicians and Surgeons, Pakistan, in General Medicine. She served Khyber Teaching Hospital, Peshawar for three years as Senior Registrar. Presently she is serving SIH as Associate Consultant InternalMedicine.


Dr. MuhaMMaD ashraf He is a graduate of Ayub Medical College, Abbottabad. Dr. Ashraf has done his Fellowships from College of Physicians & Surgeons, Pakistan in Internal Medicine & Pulmonology. He has worked as Consultant in different hospitals in Pakistan and abroad. Currently he is working as Consultant Medical Specialist at SIH.

Dr. M. Yousuf aWan A Fellow of College of Physicians & Surgeons, Pakistan, has CESR / CCST, UK. He has worked as Consultant Internal Medicine in tertiary care hospitals, both in the country and abroad. Currently serving as Consultant Medical Specialist and Program Director, Medicine.

Dr. hassan MahMooD aWan A graduate of Nishtar Medical College, Multan and a Member of Royal College of Physicians of Ireland & Royal College of Physicians & Surgeons, Glasgow. Dr. Hassan is American Board certified in Internal Medicine and has completed his residency at Grand Rapid Medical Education Partner MI, USA. He has also done clinical Fellowship in Cardiology at Aintree University Hospital NHS Foundation Trust Liverpool, UK. Currently working as Associate Consultant Medical Specialist at SIH.

Dr. shEikh M. ilYas A graduate of King Edward Medical College, Dr. Ilyas is US trained and experienced physician in Internal Medicine. He did Internal Medicine Residency from Flushing Hospital,New York. He was Chief of Medical Staff NWFC Hospital, Florida. Dr. Ilyas is currently serving as Consultant at Shifa Medical Centre, F-11.



Dr. naDia saEED She is a Fellow and Member of College of Physicians & Surgeons, Pakistan. She has completed her residency training at SIH & PIMS, Islamabad. Presently serving as Medical Specialist at Shifa Medical Centre, F-11, Islamabad.

Dr. fibhaa sYED Dr. Fibhaa is a member of Royal College of Physicians, UK & a Fellow of College of Physicians & Surgeons, Pakistan. She has completed her residency from PIMS, Islamabad. Currently working as Medical Specialist at Shifa Medical Centre, F-11, Islamabad.

Dr. shahEEna rEhMan khan Dr. Shaheena graduated from University of Peshawar. With several years of experience in her field, Dr. Shaheena is working as Family Physician at Shifa Medical Center, F-11.

Dr. faisal sauD Dar Trained in Hepatopancreaticobiliary Surgery from UK, Dr. Faisal is a Fellowof Royal College of Surgeons UK and College of Physician & Surgeons, Pakistan. He has also worked at Kings College hospital, UK. His special interest is in Pediatric & adult to living donor transplantation. Currently working as Consultant Liver Transplant Surgeon at SIH.

Dr. hasEEb h. Zia Having Fellowships in Surgery from College of Physicians & Surgeons, Pakistan and in Transplant Surgery from Baskent University Hospital, Turkey and a Member of Royal College of Surgeons, Ireland, Dr. Haseeb is a graduate of Army Medical College, Rawalpindi. He completed residency from Combined Military Hospital, Rawalpindi. Previously, he has worked as a General Surgeon in Naval Hospitals, Islamabad & Karachi and HBP Transplant Surgeon in North West General Hospital, Peshawar. Currently serving as an Associate Consultant HPB & Liver Transplant Surgeon at SIH.

LIVER TRANSPLANT


Dr. abDul Wahab DoGar Graduated from Quaid-e-Azam Medical College, Bahawalpur and has done his Fellowship in General Surgery from College of Physicians & Surgeons, Pakistan, Dr. Dogar is serving as an Associate Consultant, Liver Transplant Surgeon at SIH.

Dr. MuhaMMaD usMan He is a graduate of Army Medical College, Rawalpindi and fellow ofCollege of Physicians and Surgeons, Pakistan, in Microbiology. He has special interest in Noso-comialinfections and Antimicrobial Resistance. He served Combined Military Hospitals and Medical College as Consultant Pathologist and Assistant Professor Pathology, respectively. Currently he is serving SIH as Associate Consultant Microbiologist.

Dr. sYED M. ZEEshan Dr. Zeeshan, graduate of Karachi Medical & Dental College and has done Fellowship in Medical Microbiology from College of Physicians & Surgeons, Pakistan. He has worked as Specialist Microbiologist / Section Head Microbiology & Parasitology Department at Dr. Sulaiman-al-Habib Medical group, Riyadh, KSA. He has also worked as Consultant Microbiologist at Sindh Institute of Urology & Transplant (SIUT) and instructor at AKUH, Microbiology Department. Dr. Zeeshan completed his residency from Aga Khan University Hospital, Karachi and currently working as Associate Consultant Microbiologist at SIH.

Dr. kh. saYEED ahMED Member of American Society of Hypertension, American Society ofNephrology, International Society of Nephrology, National Kidney Foundation USA and Pakistan Societyof Nephrology. He is a graduate of Dacca University. He did his residency from Westchester County Medical Center & NY Medical College. He is working as Consultant Nephrologist at SIH.

Dr. s. naYEr MahMuD With Fellowship in Nephrology from University of Oklahoma, Dr. Nayerdid Residency in Internal Medicine from Albert Einstein College of Medicine, New York. At present, heis serving as Chief of Medicine, Consultant Nephrologist and Transplant Physician at Shifa International Hospital and Assistant Professor (Medicine) at SCM.

MICROBIOLOGY

NEPHROLOGY



Dr. sYED farhaT abbas A Fellow of College of Physicians & Surgeons Pakistan, Dr. Abbas haspreviously worked at Pakistan Institute of Medical Sciences. Currently he is serving as Head of Department & Consultant Nephrologist at SIH.

Dr. arsalan ahMaD Dr. Arsalan has done his graduation & residency from Dow Medical College Karachi. With more than 30 publications and 60 abstracts Dr. Arsalan is serving as a Consultant Neurologist at Shifa International Hospitals Limited, and Professor Neurology at Shifa College of Medicine.

Dr. MaiMoona siDDiqui A Graduate of Dow Medical College Karachi, Dr. Maimoona did residency from Liaquat National Hospital. She is a Fellow of College of Physicians & Surgeons Pakistan, in IM & Neurology. She is presently serving as Consultant Neurologist at SIH.

Dr. MuhaMMaD aZhar saEED He is graduate of RMC & a Fellow of College of Physician & Surgeons Pakistan. He has worked as Neuro Physician at FFH and as Assistant Professor at FUMC. He has published 7 original research papers in addition to case reports, series and abstracts in local & indexed journals. He has special interest in Epilepsy, Stroke, Headache, Parkinson Disease and Nerve & Muscles disorders. He is working as Consultant Neurologist at SIH.

Dr. rao sohail A Fellow of College of Physicians and Surgeons Pakistan, Dr. Rao Sohail has been working as Assistant Professor at Department of Neurology (PIMS) since 2006. Presently he is working as Associate Consultant Neurologist at Shifa International Hospital.

NEUROLOGY


Dr. MuhaMMaD aMJaD Dr. Amjad has done his graduation from Punjab Medical College, Faisalabad. He is a fellow of College of Physicians and Surgeons, Pakistan in Neurology and member CPSP in General Medicine. He has completed his residency from PIMS, Islamabad, and Shaikh Zayed Hospital, Lahore, in Neurology and Medicine respectively. His experience includes serving Fauji Foundation Hospital, PIMS, and Shaikh Zayed Hosiptal. Presently he is serving SIH as Associate Consultant Neurologist.

Dr. WasEEM Tariq Malik Having Fellowship in Neurology from College of Physicians & Surgeons, Pakistan, Dr. Malik is a graduate from Rawalpindi Medical College, Pakistan. He is working as an Associate Consultant Neurology at Shifa International Hospitals Ltd, Islamabad.

Dr. inaYaTullah khan Dr. Inayat did Residency from Royal College of Surgeons UK and gainedvast experience in various hospitals of UK & Ireland. Trained in dealing with Spinal & Vascular neurosurgical problem & cerebral tumor, he is presently serving as Consultant Neurosurgeon at SIH.

Dr. MuhaMMaD naDEEM Specialized in Neuro Trauma, Brain & Spine problems includingProlapsed Intervertebral Diseases, Spinal stenosis and Tumors. Dr. Nadeem is trained from the Collegeof Physicians and Surgeons, Pakistan. With experience in Stroke Surgery, he is currently serving as Consultant Neurosurgeon at Shifa International Hospital for more than 8 years.

Dr. shahiD ahMED shah A fellow of College of Physician & Surgeons Pakistan in Neurosurgery.He has completed his residency in Neurosurgery from Liaquat National Hospital, Karachi and served the same Hospital for seven years. Currently he is serving at SIH as Associate Consultant Neurosurgeon.

NEUROSURGERY



Dr. rEZZan khan With Ph.D in Food and Nutrition from Kansas State University, USA, Dr. Rezzan is a Member of Academy of Nutrition and Dietetics, Pakistan Nutrition & Dietetic Society and Nutrition Association. Currently a Consultant Nutritionist at SIH, Dr. Rezzan has worked as Research Assistant in Iowa State University, USA and Head of Food Technology Department in Gazi University, Turkey.

Dr. s. rafaqaT ali Jafri He is a graduate from Nishtar Medical College, Multan and attained his Masters degree in Nuclear Medicine from University of London, UK. He is also Fellow of College of Physicians and Surgeons Pakistan, in Nuclear Medicine. Furthermore, he is Overseas member of British Nuclear Medicine Society, UK. He has a vast experience of over 34 years in the field of Nuclear Medicine. Currently working as Consultant Nuclear Medicine at SIH.

Dr. Musab riaZ He is a graduate of Rawalpindi Medical College and has received his MSc degree in Nuclear Medicine. In addition he has done his Fellowship from College of Physicians & Surgeons, Pakistan as well as a certification of Diplomate Board of Nuclear Cardiology from American Society of Nuclear Cardiology. Currently working as Associate Consultant Nuclear Medicine at SIH.

Dr (Mrs.) khurshiD s. raJa A Professor and Chief / Consultant of the Department, possesses DRCOG, MRCOG and FRCOG from the Royal College of OBS & Gyne, UK. She got on job Postgraduate Training from 1961-1969 at different leading teaching & training hospital of university of Glasgow, UK. She has the honor of developing the department at SIH & SCM including seeking recognition by PMDC & CPSP for postgraduate training and she is a supervisor for the same and for RCOG (UK). She is a life member of Society of Obs/Gyne of Pakistan. A seasoned Obs/Gyne specialist has keen interest in genital cancer, infertility, endoscopic surgery and fetal medicine.

Dr. Mah ParVEEn qaZi A Member and Fellow of Royal College of Gynecology UK, Dr. Mah Parveen is serving as Consultant Obstetrics & Gynecology at SIH. She completed her Residency Training from Royal Gwent Hospital Newport Monmouthshire South Wales UK. Besides serving in different towns of Pakistan, She also worked as Registrar Obs/ Gynae in South London Hospital for Women & Children’s in London.

NUTRITION MEDICINE

NUCLEAR MEDICINE

OBS/GYNE


Dr. nabia Tariq Professor of OBS/ Gynae and Head of Department of OBS/Gynae in ShifaCollege of Medicine, Consultant Gynecologist at SIH for more than 10 years. She is an examiner andsupervisor of Undergraduate and Post Graduate medical programs. In addition to her obstetrics experience, her area of special interest are gynecological endoscopies and reproductive endocrinology.

Dr. aZra baTool Having special interest in Fetal Medicine and Gynae Micro Surgery. She has had her training from UK and USA, (John Hopkins University). Dr. Azra is working as Professor at SCM and Consultant Gynecologist at SIH. She has been a Faculty member of CPSP. She is Convener of MCPS & FCPS exams, and a member of Accreditation team of CPSP & PMDC and Pakistan Society of Gynae/Obs.

Dr. shaZia fakhar With Fellowship in OBS/ Gynaecology after graduating in 1996, Dr. Shazia is working as Associate Professor at SCM & Consultant Gynecologist at SIH. With 16 years of experience in her field Dr. Shazia is looking forward to put her mark in the field of Minimal Invasive Surgery.

Dr. huMa TaslEEM Dr. Huma Tasleem is an Associate Professor of Obs/Gyne at SCM, Associate Chief and Consultant Gynecologist at SIH. She is also Program Director (Gynae) for postgraduate training program at SIH. She has done MCPS and FCPS. She has special interest in Urogynecology and gynecological malignancy.

Dr. TasnEEM akhTar A graduate of Rawalpindi Medical College. She is a Fellow and Member of College of Physicians & Surgeons, Pakistan. Currently working as Associate Consultant Gynecologist at SIH & SMC, F-11.



Dr. shaMsa riZWan A Fellow and Member of College of Physicians & Surgeons Pakistanin Obstetrics & Gynaecology with Diplomas of Epidemiology from London School of Hygiene & Tropical Medicine, Dr. Shamsa is working at Shifa Medical Center F-11, Islamabad as part time Consultant OBS/Gynae.

Dr. shahEEn ashraf Dr. Shaheen is a graduate of Dubai Medical College, UAE and a Member of Royal College of Obstetricians and Gynecologists, London, UK. In addition, she has done her Fellowships in Maternal Fetal Medicine and Fetal Echocardiography from Thomas Jefferson University Hospital Pennsylvania, USA. Previously, she has worked as Consultant Gynecologist at Women’s Hospital, Peshawar and a clinical Tutor of Obstetrics and Gynecology at Dubai Medical College. Currently working as Associate Consultant Gynecologist at SIH.

Dr. aMEEna shah Dr. Ameena is a graduate of Army Medical College, Rawalpindi. She has done her Fellowship from College of Physicians & Surgeons, Pakistan in Gynecology/Obstetrics. Currently working as Associate Consultant Gynecologist at Shifa Medical Center, F-11.

Dr. riffaT shahEEn Dr. Riffat is a Fellow & Member of Royal College of Obs/ Gyne, UK and College of Physicians, Pakistan. Currently serving at Shifa Medical Center, F-11 as Gynecologist.

Dr. ZEba i. MaTin A Fellow of College of Physicians and Surgeons Pakistan and Royal College of Surgeons Edinburgh, UK, Dr. Zeba is serving patients with extensive 13-years Post-Fellowship experience. Her special interests involve, Phacoemulsification for cataract surgeries, Corneal Graft Operation and Squint Correction surgery. She is head of Ophthalmology Department. She is also working as an assistant professor at Shifa College of Medicine

OPHTHALMOLOGY


Dr. farooq afZal A King Edward graduate, Dr. Farooq is a Fellow of Royal College of Surgeons Ireland, Royal College of Surgeons Glasgow and Royal College of Ophthalmology London, UK. He is also serving as a professor of Ophthalmology at Pakistan Institute of Medical Sciences IslamabadWith experience of over a decade from UK and Saudi Arabia, he is presently working as ConsultantOphthalmologist at SIH.

Dr. sulMan Jaffar A Fellow of Royal College of Surgeons UK & College of Physician & Surgeons,Pakistan. He has completed his residency from Al Shifa Trust Eye Hospital. Currently he is working as Assistant Professor, SCM and Consultant Ophthalmologist at SIH.

Dr. M. aMEr raZa aWan A KE graduate and has dual Fellowships from Royal College of Ophthalmologists, London and Royal College of Surgeons, Edinburgh. He has also got Vitreo-Retinal Fellowship from UK. Dr. Awan has worked as a Consultant Ophthalmic & Retinal Surgeon at University Hospitals Ayr & Crosshouse, UK prior to joining Shifa International Hospitals Ltd and has over 10 years of experience in his field. Currently working as Consultant Ophthalmologist at SIH.

Dr. aYisha kausar Dr. Ayisha is a graduate of Rawalpindi Medical College and also a Member & Fellow of College of Physicians and Surgeons, Pakistan. Currently working as Associate Consultant Ophthalmologist at SIH.

Dr. saDia farooq A Gold Medalist of her medical school, she is working as Professor in Shifa College of Medicine and as Consultant Ophthalmologist at SIH. She is also a Member of College ofPhysicians & Surgeons and Fellow of the Royal College of Surgeons. Her special Interests involve Glaucoma, Cornea Cataract & Plastic Surgery.



Dr. inaYaTullah khan Dr. Inayat is a graduate of Khyber Medical College, Peshawar and a Fellow of College of Physicians and Surgeons, Pakistan. Currently he is working as Ophthalmologist at Shifa Medical Center, F-11.

Dr. saJJaD hasan orakZai He is a graduate of Khyber Medical College and completed his residency from various hospitals of Ireland. He has done his Fellowship from Royal College of Surgeons in General Surgery and Trauma & Orthopedics. Previously worked with Connolly Hospital Blanchardstown, Dublin and Midland Regional Hospital, Tullamore, Co. Ofally, Ireland as Consultant Orthopedic Surgeon. Currently he is working at SIH as Consultant Orthopedic Surgeon and is the Head, Department of Orthopedics.

Dr. Waqar M. Jan He graduated from Ayub Medical College and completed his basic surgical and higher surgical training conducted by Royal College of Surgeons in Ireland & UK. He has Fellowships from Royal College of Surgeons in General Surgery and in Trauma & Orthopedics, Dr. Waqarhas worked as a Consultant in Trauma & Orthopedic Surgery in Dublin, Navan & Drogheda in Ireland before joining as a Consultant Orthopedic Surgeon at SIH.

Dr. aaMEr nabi nur Consultant Orthopedic Surgeon at SIH, he graduated from King EdwardMedical College Lahore and did Residency in Orthopedics from Agha Khan University Hospital Karachi.He then moved to UK where he worked in different hospitals and gained experience in various subspecialties of Orthopedics. Before moving to Pakistan he was working as Senior Registrar Orthopedics At Royal Sussex County Hospital, UK.

Dr. M. aaMEr farooq Dr. Amer is a graduate of Allama Iqbal Medical College, Lahore and has done Fellowship in Surgery & Trauma and Orthopedics from Royal College of Surgeons, UK. In addition he has done his Masters in Orthopedic Engineering from Cardiff University, UK and MCH in Orthopedic Surgery from Liverpool University, UK.

ORTHOPEDICS


Dr. iMran n. ahMaD Dr. Imran is Diplomate American Board of Pathology in Surgical Pathology (Histopathology) and Hematology (Pathology) and also a Fellow of College of American Pathology. He did his surgical pathology Fellowship from Yale University, USA and Hematopathology Fellowship from Albany Medical Centre, USA. His areas of interest include Hematopathology, Urological Pathology, Breast Pathology and Flow cytometry. Currently he is working as a Chief of Pathology & Consultant Pathologist at SIH and Assistant Professor of Pathology at SCM.

Dr. naDira MaMoon Dr. Nadira is a Fellow of College of Physicians &Surgeons Pakistan inHistopathology & Cytopathology. She has got her training from St. Thomas Hospital London. Her special areas of interest are Head, Neck & Breast Pathology. Currently she is working as Consultant Histopathologist at SIH & Professor of Pathology at SCM.

PATHOLOGY

Dr. faZal ilahi Senior Consultant of Pathology at SIH, he is Diplomate American Board of Clinical Pathology and Anatomical Pathology. He did Residency Training at St. Lukes Hospital, USA. Dr. Fazal is a Fellow of College of American Pathologists and American Society of Clinical Pathologists. He is also a Member of State Medical Society Wisconsin, USA and American Association of Blood Banks.

Dr. aYEsha JunaiD Dr. Ayesha is a Fellow of College of Physicians and Surgeons in Pathology & she is a member of CPSP in Clinical Pathology. She is working with Shifa International Hospital as Hematology Consultant. Dr. Ayesha is a graduate of King Edward Medical University, Lahore. She is the Professor of Pathology, Director Blood Transfusion services & stem cell laboratory. She is Supervisor CPSP in subject of Laboratory Hematology.

Dr. huMaira nasir A King Edward graduate, Dr.Humaira has two Fellowships in Histopathology & Cytology. One from Royal College of Pathologists, London & other from College of Physicians & Surgeons, Pakistan. She has also done membership of CPSP in Clinical Pathology. She is Renal and Liver Pathologist. She is actively improving quality.



Dr. iJaZ ahMaD Dr. Ijaz is Diplomate American Board of Pathology in Histopathology, Clinical Pathology and Chemical Pathology. He has done Fellowship in Forensic Pathology from USA. Currently working as Consultant Chemical Pathologist at SIH.

Dr. ZEEshan uD Din A graduate of Dow Medical College, Karachi and a Fellow of College of Physicians & Surgeons, Pakistan in Histopathology. He got training in Histopathology from AKUH.Before joining SIH he worked as Senior Instructor at AKU. Currently serving as Associate Consultant Histopathologist at SIH and Assistant Professor Pathology at SCM. He has special interest in Gynecological Pathology & Neuropathology.

Dr. saMEEna GhaYur She is a graduate of Army Medical College and has obtained her certifications of Fellowship and Membership from College of Physicians & Surgeons, Pakistan in Chemical Pathology and Clinical Pathology, respectively. Currently working as Associate Consultant Chemical Pathology at SIH. She is Section Head & Associate Professor of Pathology at SCM.

Dr. Tahir aZiZ ahMaD Having Fellowships in Medical Microbiology from College of Physicians & Surgeons, Pakistan and in Immunology from Royal College of Pathologists, UK, Dr. Tahir is working as Consultant Immunologist at SIH. He is local coordinator of FRCP examination in Pakistan.He has worked as Consultant Immunologist & Head Department of Immunology at AFIP has also worked as Professor of Pathology /Head Department of Microbiology at Combined Military Hospital, Lahore.

Dr. asna haroon khan A graduate from Army Medical College, Rawalpindi and fellow of College of Physicians and Surgeons, Pakistan in Histopathology. She is retired Lieutenant Colonel from Army Medical Corps and presently serving SIH as Associate Consultant Pathologist & Assistant Professor of Pathology at SCM.


DDr. rEhana saYEED A medical graduate from Dacca (Bangladesh), Dr. Rehana is treatingyoung patients as Consultant Pediatrician in SIH. Present in the field with 40 years of impressive experience and American Board Certification, She is involved with Shifa since day one.

Dr. EJaZ a. khan Working as Consultant Pediatrician, Dr. Ejaz has Board Certification from American Board of Pediatrics and Infectious Diseases. His areas of special interest are Pediatric TB and Pediatric HIV. He is also supervisor for College of Physicians and Surgeons’ Postgraduate Program in Pediatrics.

Dr. MusarraT hussain American Board Certified Pediatrician, he has vast experience in GeneralPediatrics, Neonatology and Pediatric Nephrology. A Member of American Academy of Pediatrics andInternational Pediatric Nephrology Association, he is presently working with SIH as Chief of Pediatrics & Consultant Pediatrician.

Dr. YaWar naJaM A Graduate of Rawalpindi Medical College, Dr. Yawar did post graduate training and membership from Royal College of Physicians, Ireland. Dr. Yawar’s special interest includeNeonatology with emphasis on nutrition and Preventive Neonatology. He is serving as Consultant Pediatrician at SIH.

Dr. iffaT faTiMa ZaMan Diplomate American Board of Pediatrics, Dr. Iffat did her ResidencyTraining from Pediatric Department of Harlem Hospital NY, USA. Presently a Consultant Pediatrician at Shifa International Hospital, she comes with experience and international exposure as AssistantProfessor at Lincoln Medical Center New York Medical College, USA, Pediatric Consultant at BilkentUniversity Ankara, Turkey, Pediatrician at John Hopkins Hospital Maryland, USA & Consultant, Shaukat Khanum Memorial Cancer Hospital Research Centre.

PEDIATRICS



Dr. Munir iqbal Malik Professor of Pediatrics in SCM and Consultant Pediatrician at SIH, Dr. Munir is American Board Certified. He is also a Supervisor for College of Physicians and Surgeons Pakistan, postgraduate program in Pediatrics. He has vast experience in general pediatrics and Pediatric Gastroenterology. He has done 2 years Fellowship in Pediatric Gastroenterology at Saint Louis University, USA.

Dr. Yasir iqbal A graduate of KEMC & has done his Fellowship from American Academies of Pediatrics and training in Pediatric Oncology, Dr. Yasir is a Member of American Society of PediatricHematology, American Diabetic Association and Saudi Medical Council. He did Residency Trainingfrom Winthrop University, Mineola, USA. American Board Certified Dr. Yasir diagnoses & treats Childhood Malignant & Benign Hematologic Disorders. He is working at SIH as Consultant Pediatrician with special interest in Pediatric Hematology & Oncology.

Dr. MaZhar h. raJa A graduate of Nishter Medical College, Multan. He is member of Royal College of Physicians, UK and Fellow of Royal College of Pediatrics & Child Health London. He has completed his residency in Gen. Paediatrics & Neonatology from Leicester University Hospital and Addenbrook’s Hospital Cambridge, UK. He had his Diploma in Child Health from PU, Lahore, Pakistan. Currently he is employed at SIH as Consultant Pediatrician with special interest in Neonatal Medicine.

Dr. MasooD khan American Board Certified Pediatrician with Diploma in Child Health fromRoyal College of Surgeons, UK. Previously he has worked with Beatrice Community Hospital USA. Currently employed at SIH as Consultant Pediatrician.

Dr. shEhla Ch. A Member and Fellow of College of Physician & Surgeons Pakistan. She is a gold medalist of Rawalpindi Medical College and has completed her residency from Benazir Bhutto Shaheed Hospital, Rawalpindi. Currently working as Associate Consultant Pediatrician at SIH with special interest in Neonatology.


Dr. shahiD naZir With extensive experience of over 20 years in his field, Dr. Shahid is currently working as Director NICU /PICU and Consultant Neonatologist at SIH. He is a graduate of King Edward Medical College and a Diplomate of American Board in Pediatrics and Neonatology. Previously, he has worked as Staff Neonatologist at Fountain Valley Hospital and Arrowhead Regional Medical Center, California.

Dr. anWar ul haq He is a graduate of Ayub Medical College, Abbottabad and has done his Fellowship from College of Physician & Surgeons, Pakistan in Pediatric Surgery. He has completed his residency in Pediatric Surgery from PIMS, Islamabad. Previously he has worked as Consultant Pediatric Surgeon at MCH Buraydah Al-Qassim in Saudi Arabia. Currently working as Consultant Pediatric Surgeon at SIH & Assistant Professor of Pediatric Surgery at Children Hospital, PIMS, Islamabad.

Dr. alaM ZEb Graduate of Gomal Medical College and a Fellow of College of Physicians and Surgeons, Pakistan. Dr. Alam Zeb is currently working as Pediatrician at Shifa Medical Center, F-11.

Dr. sYED kalEEM ur rEhMan Member of Royal College of Pediatrics & Child Health, UK and College of Physicians & Surgeons, Pakistan. Dr. Kaleem is serving as Pediatrician at Shifa Medical Center, F-11.

Dr. khaula ashraf Dr. Khaula is a graduate of Army Medical College, Rawalpindi and is a Fellow of College of Physicians and Surgeons, Pakistan. She has a long experience as Specialist in Physical Medicine & Rehabilitation in Pakistan Armed Forces Hospitals. Currently working as Associate Consultant Physical Medicine & Rehabilitation at SIH.

PHYSICAL MEDICINE & REHAB



Dr. salEEM a. Malik A former Plastic Surgeon of Henry Ford Hospital USA and MarshfieldClinic USA and also served as a Professor of Plastic Surgery in PIMS. Dr. Saleem is currently serving as Consultant Plastic Surgeon at SIH. An American Board Certified & FRCS (C) in Plastic Surgery, he is a Member of American Society of Plastic Surgeons, Pakistan Association of PlasticSurgeons and Pakistan Society of Hand Surgeons.

Dr. MaMoon rashiD Fellow of Royal College of Surgeons, UK and College of Physicians &Surgeons, Pakistan. He is President of Pakistan Association of Plastic Surgeons and Pakistan Society for Surgery of Hand. Prior to joining SIH Dr. Rashid has worked as Professor and Head of Department of Plastic Surgery at CMH, Rawalpindi. Currently he is working as Consultant, Plastic Surgeon at SIH & a Professor of Plastic Surgery at Shifa College of Medicine.

Dr. MuhaMMaD ibrahiM With dual Fellowships from College of Physicians & Surgeons, Pakistan & Royal College of Surgeons, Ireland, Dr. Ibrahim is working at Shifa International Hospital as Consultant Plastic Surgery. With last ten years in Plastic Surgery, Dr. Ibrahim is a Member of PakistanAssociation of Plastic Surgeons.

Dr. saaD ur rEhMan A graduate of Army Medical College, Rawalpindi and a Fellow of College of Physicians and Surgeons, Pakistan. Dr. Saad is also PSEF International Scholar of American Society of Plastic Surgeons. Previously he has worked as Consultant & Head Department of Plastic Surgery at Fauji Foundation Rawalpindi &NESCOM Hospitals. Currently working as Associate Consultant, Plastic Surgeon at SIH.

Dr. abDul Wahab YousafZai A Fellow of College of Physicians & Surgeons Pakistan with Diploma in Psychological Medicine. Previously he has worked as Assistant Professor of Psychiatry at Ayub Medical College & Aga Khan University and currently he is employed as Consultant Psychiatrist at SIH.

PLASTIC SURGERY

PSYCHIATRY


Dr. riZWan TaJ With over 30 research papers to his credit, Dr. Rizwan is working as Consultant Psychiatrist with Shifa International Hospital. He is a member Royal College of Psychiatrists, Londonand has diplomas of Psychological Medicine, Management for Medical Doctors and Clinical Psychiatry from Royal College of Surgeons, Ireland. He is also serving as Professor & Head of Psychiatry at Pakistan Institute of Medical Sciences.

Dr. MuhaMMaD habib Dr. Habib is Member of Royal College of Psychiatrists, England. He didResidency from Cherry Knowle College of Psychiatrists, England and working as Consultant Psychiatrist at SIH for last ten years.

Dr. sEhar ashraf Fellow of College of Physicians and Surgeons, Pakistan. Dr. Sehar did her graduation from Army Medical College, Rawalpindi and presently working as Psychiatrist at Shifa Medical Center, F-11.

Dr. naZia aZiZ Master of Science and PhD (Doctor of Psychology) from St. John’s University New York, Dr. Nazia has worked at BAARNY, a state approved provider of psychological and educational services affiliated with the New York City Department of Education and at Infant Development Follow-Up Program at New York State Institute for Basic Research in Development Disabilities and Elizabeth W. Pouch Center for Special People, New York. Dr. Nazia is working as Consultant, Clinical Psychologist at SIH.

Dr afTab akhTar American Board Certified in Internal Medicine, Pulmonary and Critical Care Medicine, Dr. Aftab is currently working as Consultant Pulmonologist and is heading the section of Pulmonary and Critical Care Medicine. He has also served for three years in Saudi Arabia.

PSYCHOLOGY

PULMONOLOGY & CRITICAL CARE



Dr. MobEEn iqbal Dr. Mobeen is a Diplomate of American Board of Internal Medicine, Pulmonary Medicine and Critical Care Medicine. He has membership of American College of Chest Physicians. His experience includes Fellowship in Critical Care Medicine and Pulmonary Diseases at Long Island Jewish Medical Center, USA. Dr. Mobeen is serving as Consultant in Pulmonology and Critical Care Department of SIH and Prof. of Medicine at SCM.

Dr. MaTi ur rEhMan Currently Consultant Pulmonology in Shifa International Hospital, Dr. Mati-Ur-Rehman has worked as Assistant Professor in Jinnah Postgraduate Medical College, Dow Medical College and in Saudi Arabia. He is DTCD, MCPS, MD (Chest Diseases).He is member American Society of Quality, National patient safety foundation USA, American College of Healthcare Executives & National association of Healthcare Quality USA. He is EMBA from SZABIST, a Certified Professional of Healthcare Quality, USA and certified in Science of Safety and TB Management from John Hopkins University.

Dr. sohail nasEEM Dr. Sohail has extensive experience in diseases of Chest and has worked in both academic and private sector. He has done his graduation from Dow Medical College and has completed his Fellowship in Pulmonary, Critical Care & Sleep Medicine from Medical College of Georgia, USA. Dr. Sohail is currently practicing at SIH as Associate Consultant Pulmonologist & Critical Care Specialist with American Board Certifications in Internal Medicine and Pulmonary & Critical Care Medicine.

Dr. GhulaM haiDEr khaliD A graduate of Bolan Medical College, Dr. Khalid has Fellowships from College of Physicians and Surgeons, Pakistan in Internal Medicine and Pulmonology. He was trained in Pulmonology and Critical care Medicine at Dammam Chest Hospital, Kingdom of Saudi Arabia. Previously he has worked as Professor and Head of Medicine department at Bolan Medical College, Quetta. Presently he is working as Consultant Pulmonologist at SIH and Head of Medicine department, SCM.

Dr. kalEEM ullah Toori He is graduate (MBBS and B.Sc in Respiratory Health) from King Edward Medical College, Lahore and University of Lancaster, UK, respectively. He is Member Royal College of Physicians, London and fellow Royal College of Physicians and Surgeons, Glasgow. He has worked as Consultant Physician & Pulmonologist in KRL General Hospital for 6 years. Currently serving SIH as Consultant Pulmonologist.


Dr. iqbal hussain Dr. Iqbal has done his graduation from Sindh Medical College and is a Diplomate of American Board of Internal Medicine & Critical Care Medicine. Currently working as Visiting Consultant Critical Care at SIH.

Dr. ikraM ul haq qaZi He is a Member of College of Physicians & Surgeons, Pakistan. He has also done his postgraduate Diploma in Tuberculosis and Chest Diseases from UK. Presently he is working as Consultant Pulmonologist at Shifa Medical Centre, F-11.

Dr. MohaMMaD ali afriDi Diplomate American Board of Therapeutic Radiology and Memberof American College of Radiology & American Society of Therapeutic Radiology & Oncology, Dr. Afridicompleted Residency in Radiation Oncology from Rosewell Park Memorial Institute Buffalo, NewYork. With over 30 years experience in USA and Pakistan, he is serving as Consultant Radiation Oncologist & Head of Department.

Dr. MohaMMaD saliM khan a fellow of faculty of radiologist, royal College of surgeons, ireland & Diplomate of Medical radiotherapy (uk), he completed training from Christie hospital and holt radium institute, Manchester u.k. With over 30 years of experience of teaching and practicing medicine in Canada, uk and Pakistan, he is presently serving as Consultant radiation oncologist & Medical Director in sih.

Dr. asif MasooD Dr. Asif is a graduate of Nishtar Medical College, Multan and has completed his residency in Radiotherapy from Shaukat Khanum Memorial Cancer Hospital, Lahore. He has done his Fellowship in Radiotherapy from College of Physicians & Surgeons Pakistan. Currently working as Associate Consultant Radiation Oncologist at SIH.

RADIATION ONCOLOGY



Dr. uZMa qasiM Dr. Uzma is a graduate of Fatima Jinnah Medical College, Lahore and has done her Fellowship from Royal College of Physicians & Surgeons. Currently working as Associate Consultant Radiation Oncologist at SIH.

Dr. MohaMMaD Yousaf Ch. He practice Radiology in Florida, USA and was Director of Department at Raulerson Columbia Hospital till 1998. Working as Director & Consultant Radiologist in Shifa International Hospital since 1998, Dr. Yousaf is an American Board Certified Radiologist. AGraduate of King Edward Medical College, he finished Residency Training from Roosevelt Hospital NewYork. He has served as fellow instructor for Neuro Radiology at Mount Sinai Hospital N.Y. Dr. Yousaf is a senior member of American Society of Neuro Radiology and Radiological Society of North America.

Dr. aTif rana With Special Fellowship in Neuro Radiology and Fellowship in Vascular & Interventional Radiology from University of Alabama, Dr. Atif is working as Consultant Radiologist atShifa International Hospital. He is an American Board Certified Radiologist and completed his Residency from the Universities of Connecticut and Alabama. He has also practiced and taught in America.

Dr. rashED naZir Dr. Rashed is a graduate of Rawalpindi Medical College and is working as Consultant Radiologist at SIH. He is a Fellow of College of Physicians and Surgeons Pakistan in Diagnostics Radiology.

Dr. MuhaMMaD WasiM aWan He is Fellow of College of Physicians and Surgeons Pakistan. He did Residency training in KRL Hospital, Islamabad. Presently workings as Associate Consultant at SIH, Dr. Wasim has previously worked at KRL Hospital and Rawalpindi Diagnostic Center as part time Consultant Radiologist.

RADIOLOGY


Dr. MuhaMaMD uMar aMin A graduate of Army Medical College, Dr. Umar is Fellow of College of Physicians & Surgeons, Pakistan with additional Diploma in Diagnostic Radiology. Currently he is working as Associate Consultant, Radiologist.

Dr. iMaaD ur rEhMan He is a graduate of Army Medical College and has Fellowship & Membership in Diagnostic Radiology from College of Physicians & Surgeons, Pakistan. He has also done additional Fellowship in Cross Sectional Imaging. Currently practicing as Associate Consultant Radiologist at SIH.

Dr. bElqEEs YaWar faiZ A graduate of Fatima Jinnah Medical College, Lahore. Dr. Belqees Yawar has completed her entire training at Shifa International Hospitals Ltd and passed her FCPS examination. She has previously been working as Assistant Consultant Radiologist at SIH. Currently working as Associate Consultant Radiologist at SIH.

Dr. sanaM Yasir Dr. sanam is a graduate of army Medical College, abbottabad. a fellow of College of Physicians & surgeons, Pakistan and has completed her residency training from Pakistan institute of Medical sciences. Currently working as associate Consultant radiologist at sih.

Dr. rahEEla aqEEl She is a graduate of Fatima Jinnah Medical College, Lahore. Dr. Raheela has completed her whole training at Shifa International Hospitals Ltd and passed her FCPS examination. She has previously been working as Assistant Consultant Radiologist at SIH. Currently working as Associate Consultant Radiologist at SIH.



Dr. sanaM MusTafa sooMro Dr. Soomro is a graduate of Chandika Medical College, Larkana and has done Fellowship in Diagnostic Radiology from College of Physicians & Surgeons, Pakistan. Presently serving as an Associate Consultant, Radiologist at SIH.

Dr. aasiM rEhMan He is Diplomate American Board in Rheumatology & Internal Medicine. He has done his residency in Internal Medicine St. Louse University Hospital, Missouri followed with a Fellowship in Rheumatology at University of South Florida. He is working as Consultant Rheumatologist at SIH.

Dr. Zafarullah A graduate of Ayub Medical College, Abbottabad and a Member of Royal College of Physicians, UK and Royal College Physician & Surgeons, Glasgow. In addition he also has certification in Rheumatology from Federation of Royal College of Physicians and British Society of Rheumatology. Dr. Zafarullah has worked as Specialty Registrar in Rheumatology at Heart of England NHS Foundation Trust and a General Physician at Solihull Health care and Walk-in Center, UK. Currently working as Associate Consultant Rheumatologist at SIH.

Dr. saEED akhTEr Dr. Saeed Akhter, MD and MPH from Yale University, USA is serving as Director, Transplant Surgery, Consultant Urologist in SIH and as Professor of Urology in Shifa College of Medicine. A Fellow of American College of Surgeons, Dr. Saeed is also a Clinical Professor of Urology & Surgery in Texas Tech University Health Sciences Center, USA.

Dr. Mian khaliD akbar Fellow of the Royal College of Surgeons (Edinburgh) and Member BritishAssociation of Urology and European Association of Urology, he did Residency training in various hospitals in UK and Ireland. Presently he is serving as Consultant Urology with SIH.

RHEUMATOLOGY

UROLOGY


Dr. faiZan ahMED Dr. Faizan is Fellow of the Royal College of Physicians and Surgeons, Glasgow, UK and Fellow of the International College of Surgeons. He is a Member of British Association of Urology Surgeons and Pakistan Association of Surgeons. Having Residency Training from various hospitals in UK, he is working as Consultant Urologist at SIH.

Dr. MuhaMMaD aYaZ khan Dr. Ayaz is a graduate of Khyber Medical College. He has done his Fellowship from College of Physician & Surgeons Pakistan. Previously he has worked with Fauji Foundation Hospital, Rawalpindi as Consultant Urologist. Previously he has worked as Consultant Urologist in Fauji Foundation Hospital. Currently he is working as Consultant Urologist at SIH.

Dr. kaMran MaJEED Fellow Royal College of Surgeons, Edinburgh and MD (USA), he did Residency training in various hospitals in UK. He also earned Diploma of Urology from London. Presently he is working as Consultant Urologist at SIH.

Dr. iJaZ hussain Dr. ijaz is a gradute of bolan Medical College, quetta. he is a fellow of royal College of surgeons, Dublin, ireland & College of Physicians & surgeons Pakistan. he is also fellow of European board of Pediatric urology and fellow of university College of london, uk. he has also worked specialist registrar in Great ormond street hospital, london. Previously he has worked as associate Professor Pediatric with siuT, Dow university of health sciences karachi. Presently he is working as associate Consultant, urologist at sih.

Dr. MuhaMMaD aThar khaWaJa A graduate of Nishtar Medical College, Multan. He has done his Fellowship from College of Physicians & Surgeons, Pakistan. Prior to joining SIH he has worked as Senior Registrar in Shifa College of Medicine. Currently working as Associate Consultant Urologist at SIH & Assistant Professor of Surgery at Shifa College of Medicine.



Shifa International Hospital Faisalabad

Dr. Waqas M. iqbal He has done MBBS from Rawalpindi Medical College and Fellowship in Urology from College of Physicians & Surgeons of Pakistan. He further did fellowship in Pediatric Urology from Children’s National Medical Center Washington D.C. He worked as a clinical associate as well as Endourology and Robotic Fellowship at Duke University Medical Center Durham NC, USA. Currently working as Associate Consultant Urologist at SIH.

Dr. Maqbool Elahi Malik Dr. Maqbool Elahi Malik has done M.R.C.P from college of Pediatricsand Child Health (U.K). He has also done M.C.P.S from college of Physician & Surgeons of Pakistan and D.C.I from Glasgow. He has vast experience of working in Pediatrics and Neonatology. Currently he is working as Consultant pediatrician at Shifa International Hospital Faisalabad.

Dr. M. ilYas shakir Diplomate American Board of Medicine, he completed his residency from Lutheran Medical College New York U.S.A. He is Member of American College of Physician & MemberAmerican college of Gastroenterology. He is working as Consultant Physician and Gastroenterologist at SIH Faisalabad.

Dr. Tariq MahMooD A member of College of Physician and Surgeons Pakistan, graduated from Bolan Medical College, Quetta, he completed residency training from department of PediatricsSheikh Zayed Hospital Lahore. His main interest is in Neonatology and Preventive Pediatrics. He established first Neonatology unit in Faisalabad in 1998 at Ghafoor Bashir Children Hospital Faisalabad. Now he is serving as a Associate Consultant Neonatology at SIH Faisalabad.

Dr. M. shahiD salEEM Dr. Muhammad Shahid Saleem graduated from Punjab Medical College and got M.C.P.S and F.C.P.S (Diagnostic Radiology) from Shaikh Zayed Hospital, Lahore under the COLLEGE OF PHYSICIANS and SURGEONS PAKISTAN. Currently working as visiting Consultant Radiology in SIH Faisalabad.


Dr. khaliD JaVED akhTar Fellow College of Physician and Surgeons of Pakistan, Fellowship in Endourology, National University Hospital Singapore, Ex-Assistant Professor Surgery, Punjab MedicalCollege Faisalabad. Dr. Khalid is Presently working as a Consultant Surgeon Urology at SIH Faisalabad.

Dr. saMina khaliD A former Assistant Professor of Punjab Medical College Faisalabad and certified as Laparoscopic and Endoscopic Surgeons from Cairo University Egypt. Dr. Samina is Certified as IVF physician and Embryologist with training from National University of Singapore.Specialist in ART. She is presently working as Consultant Obs/ Gynae at SIH Faisalabad.

Dr. naEEM asGhar With MBBS from King Edward Medical College, Lahore and Fellowship from College of Physicians & Surgeons, Pakistan in Cardiology, Dr. Naeem is working as AssistantConsultant Cardiologist, SIH Faisalabad.


Strategic Planning & Business Development As the name suggests, Strategic Planning & Business Development (SP&BD) Division has pioneered certain critical initiatives to help Shifa International Hospitals realize growth aspirations and achieve market preeminence in line with the Vision, Mission, Values and Strategic Imperatives of the company.

Under the guidance of the Board and the CEO, SP&BD division has developed and launched a 3-Year Strategic Operating Plan and has initiated Structured Reviews. This process has been institutionalized throughout

the organization and is already impacting the processes of systematic, timely and future oriented decision making and execution.

Previously, the Division has also updated Mission, Vision, Values and has defined Strategic Imperatives to align them with the

organizational aspirations and future goals.

Moreover, the SP&BD has organized Strategic Execution Teams to engage broader leadership team and drive accountability during implementation of the Strategic Plan. Strategic Planning at Shifa starts with clear guidance from the Board while keeping in view the mission and vision of the organization. This creates strategic priorities called “Strategic Imperatives” which give form to actionable strategies and programs. Goals and Objectives are linked with the strategic imperatives of the organization and later performance reviews, talent reviews and leadership development is based on achievement of these goals and objectives.

Shifa’s measurement of ongoing operational performance is organized around a commitment with

“Shifa’s Strategic Imperatives” i.e. Seamless/Easy Access Care Delivery, Physician Partnerships and Enhanced

Clinical Quality, Financial Strength, and Strategic Growth.

The idea behind this approach is to achieve market preeminence. It’s a three stage path which starts with

establishing the base, moving on to the next level which is establishing capabilities and strengthening market position and aiming

towards the 3rd stage which is to achieve enduring market preeminence.Distinctive characteristics of this approach include:

1) Translates long-term to mid- and short-term – Strategic plan directly links to 1-yr projects, work plans (and budget)2) Top down – “Start with the answer” and build on system strategy and guidance: values / strategies / key actions + targets3) But also bottom up – operating and staff leaders own. Develop the strategies and tactics to achieve key actions and targets4) Focuses on execution of strategies through Projects (work plans)5) Matrix teams – Sponsors are leading teams in four imperative areas. 6) Tracks progress – accountability with course corrections

This process of strategic planning and execution fully complements the other key role of the division that is Business Development. We can proudly share that we have already embarked upon establishing our mark in Middle East (Dubai) and in Kabul, Afghanistan. In this expansion drive, technology like telemedicine is an enabler to bridge geographical gap between physicians and patients. It’s just a beginning. We are eyeing upon further and newer heights in expanding this regional growth and simultaneously bringing in progressive investors into Pakistani health market. Coming years will witness many exciting news emerging from Shifa International Hospitals for healthcare consumers, leaders and investors alike.

The division also plays an important role in creating health awareness and enriching media landscape thorough Media Division. The division manages regular and sporadic publications, awareness literature, organizes symposiums, seminars and other activities for professionals as general public alike.


H. E. President Islamic Republic of Pakistan Syed Mamnoon Hussain

Presenting 20 years accomplishment award

Awards & Achievements 2013-14

29th Corporate Excellence Awardin Healthcare by

Management Association of Pakistan (MAP)

Best Enterprise Awardin Healthcare by

Europe Business Assembly (EBA) London, UK


Chief Operating Officer provides central leadership to a whole array of diversified operations that go nonstop in a synchronized manner to guarantee quality service delivery to our patients. Office of the COO reports and takes guidance from the Office of the CEO. All the support and ancillary operations at Shifa

International Hospitals are administered and guided by the Office of the COO. These diversified administrative, support and ancillary operational departments work in close coordination of the clinical side to assure highest possible quality services to patients in line with the Company’s Mission, Vision, Values and Strategic Imperatives.

Office of the Chief Operating Officer

Chief Operating Officer provides central leadership to a whole array of diversified operations that go nonstop in a synchronized manner to guarantee quality service delivery to our patients.


Emergency department is one of those functional areas in the hospital which is always at the forefront of patient care. It operates 24 hours a day; to treat patients suffering from acute illness or seriously injured that may lead to severe complications if not treated quickly. Patient flow in ER increased from 16330 in 2010, to 26698 in 2012. Majority visits had a severity level of minor to moderate.

We have 2 full time consultants, 5 assistant consultants and 20 doctors with an Associate manager, ACNM and about 32 nursing staff. The department has made drastic efforts to improve quality of service. We have managed to decrease the waiting time to be seen by a doctor to 15 minutes.

Emergency department is providing orientations, in-house trainings and continuing education to its employees that assist the staff in attaining new skills and knowledge, gaining increasing level of competence and helping them grow professionally.

Emergency


The primary goal of the Nursing department at Shifa International Hospital is to provide the best patient care services. Incorporation of humanity and respect in providing nursing care is vital to the process of healing. Nursing division reflects the belief in a set of core values that are fundamental excellence in services shared and upheld by the nursing management staff and other clinical partners.

The hospital envisions creating a centre of excellence in nursing services and education. Shifa is one of the few hospitals in Pakistan where staff is encouraged to utilize its potential in a safe, supportive and encouraging work environment.

Currently the nursing division is committed to extend its services to 550 beds including 32 beds of neonatal intensive care, 65 beds of intensive care, 20 beds for day care chemotherapy and 17 beds for day care surgery. The emergency services for 24/7 are a hallmark of its contribution. The nursing division has flourished marvelously to more than 600 nurses of which 60 nurses are holding a baccalaureate degree in nursing and 150 paramedical staff is currently working at SIH. The volume of the knowledge in the health care arena expands daily. Since its inception, Shifa is committed to upgrade its human resource to meet the challenges in service and technology. The nurses have been trained at national and

Nursing

international levels in the provision of highly specialized area of care. In 2014 Shifa has sponsored 75 nurses for ICU, ER and diploma in cardiology program. Moreover, 30 nurses are sponsored for Post RN BScN degree program this year.

To seek accreditation from Joint Commission International (JCI) there is a focus on program improvement of healthcare facility. Continuous professional development for managerial and nursing staff is being offered by Nursing Education Services Department through Quality management programs. To promote evidence based practices, nursing management has developed area specific key performance indicators, and encourages participation of nurses in internal and external audits for quality assurance.

In-Patient Department (IPD)Shifa International Hospital has been committed to becoming a premier healthcare organization since the day it was founded. By the grace of Almighty it has been recognized due to its best quality and brand image. This dream came true because of dedicated and visionary leadership as well as unmatched efforts of entire healthcare team. We fully recognize the contribution of our team members and highly value our legacy of respect for people and to treat patients with care. We are enthusiastic to follow our tradition & legacy to serve the ailing humanity with a difference and make Shifa a great healthcare experience in years to come.

Patient is our first priority and to create a patient centred hospital we started continuous round the clock patients visits on the floors, Complaint Mitigation, keen eye on patients charging, connectivity with the family of the patients, checklist of the rooms and continuously maintaining the decor of the rooms with the help of other teams, right attitude with right attire and we are focused to promote a “Smile Culture” within the hospital.

We believe in continuous quality improvement and human capital development. For that purpose rigorous JCI compliance training programs have been imparted which includes “Patient Family Rights”, “Patient Education”, “Hand Hygiene for “Infection Control” and “Patient Safety” to meet the international standards of quality healthcare, and to improve the Patient Experience.


Out-Patient Department (OPD)Shifa’s OPD department aims to gain patient satisfaction through highly motivated, trained and skilled staff. Out-Patient Department (OPD) Services is one of the important aspects of hospital administration. It is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff. Patients visit OPD not only for treatment but also for preventive and promotive services like, Health check up, Immunization, Physio-therapy and so on.

The role of OPD is to act as bridge between consultant and administration. We make sure that every patient gets checked on time by the concerned consultant. Monitoring mechanism is devised to assess and evaluate efficiency and effectiveness of department. We have had 79,929 new patients registered at Shifa in 2013-2014.

Our services include registration, panel and cash management, medical record (MR), patient facilitation department, central appointment services, liaison and coordination of nursing support for clinics and liaison and facilitation to Physicians in parallel with Medical Staff Affairs.


RehabilitationRehabilitation plays an integral part in patient’s recovery process. Shifa International Hospital’s Rehabilitation Department has a team of highly trained and experienced therapists. Our objective is to achieve rapid and durable rehabilitation outcomes through therapeutic exercises, state of the art modalities and home trainings in the activities of daily living along with provision of home help and attendant care. We now provide these services for both IPD and OPD as well.

Rehabilitation can assist in recovery and faster mobility from almost any chronic ailment, hospitalization or surgery. We offer services that aim to improve movement, gait and manage pain, functional abilities of daily living, verbal communication and swallowing problem, well being through exercise and hydrotherapy. These therapies improve quality of life of the patient and help them become productive members of the society.

A thorough assessment is done by qualified physiotherapist, speech therapist or occupational therapist and implementation of treatment plan is one of the key features of our services.

Our Physiotherapy services offer treatment for cardiac, gynecology, orthopedic, neurology, pediatric, chest, pulmonary, hydrotherapy and pain management patients. We also provide services for speech therapy and swallowing, speech pathology, occupational & sensory integration, autism & behavior, applied behavior analysis, IQ testing, fitness program and home health services. We will soon be starting Orthotic services as well.

Shifa International Hospital is a pioneer in initiating Home health services in this region. Physiotherapy is one of the services that is being provided at the patient’s door step. The philosophy behind introducing this unique service is to achieve rapid and durable outcomes, continuation of treatment care through the provision of home help and home based attendant care training in activities of daily living with the help of skilled medical professionals. This is a cost effective and time saving service that has no risks for the patient.

Physiotherapy services are also being offered at Shifa Medical center PWD and F-11 sector. We are going to start Physiotherapy, Speech therapy & Occupational services at Shifa International Hospital G-10 sector as well.



LaboratoryDiagnostic services at Shifa International Hospital are rapidly enhancing to achieve the highest standards in the country. There are six subspecialties including Diagnostic Surgical Pathology, Hematology, Blood Bank Services, Chemical Pathology, Microbiology and Immunology. These sections are rapidly expanding not only in terms of addition of new automated equipment but also with expert and qualified technical staff. They work under direct supervision of experienced and foreign qualified consultants and believe that knowledge is ongoing process. We are expanding it by continuous training from abroad as well as conducting seminars for budding pathologists.

The Laboratory Department is a comprehensive, full-range service and reference laboratory dedicated to provide state-of-the-art quality and timely testing results to area physicians and health care providers. The services are provided 24/7 for patients of all ages through inpatient, outpatient and outreach modalities. We provide Home collection facility as well.

Chemical Pathology The chemical pathology section utilizes services of a fully automated state-of-the-art integrated chemistry analyzer. This performs routine and specialized chemistry tests including hormones, therapeutic drugs, and drugs of abuse and tumor markers. The scope of tests being performed on this instrument has been expanding with addition of newer tests every year. We also provide services of Osmometry, calculi analysis and blood gases. There is a continuous growth in chemistry tests and we have performed more than 350,000 tests in 2013-2014.

The department is also providing services in emergency rooms as stat chemistry tests which have facilitated health care delivery more efficiently.

With the start of liver transplant, the department is keeping pace with it providing results within minutes during surgery which facilitates the work of surgeons and anesthetists. We have excellent internal and external (USA) quality control program. HematologyThe services offered at Hematology department include routine hematology test, bone marrow biopsies and complete set of immune testing for final diagnosis of lymphomas / Leukemias. The department is now recognized for getting fellowship in this specialty and trainings have also started. We plan to get automation in most sections to reduce human error and aid our pathologists for accurate and quick diagnosis. To improve accuracy, the section is installing fully automated cell counter which has integrated system with capability of blood film preparation and staining. More than 195,000 tests have been done this year in Hematology section.

Flow Cytometry LabWe have state-of-the-art Flow Cytometry Lab which has 6-8 color laser equipped instrument, the first of its kind in Pakistan. Our department is fully capable of rendering leukemia and lymphoma diagnosis in accordance to the International Standards in a very short period of time. This process facilitates the oncologists in critical management decisions. The Flow Cytometric analysis is performed by American Board certified Hematopathologist and foreign trained technologist. We take pride in rendering an integrated report within 24 hours.

HistopathologyDiagnostic surgical pathology is one of the busiest departments of the country that has grown by leaps and bounds in the past few years. We offer wide range of services that include exfoliative cytology; fine needle aspiration biopsy in addition to routine histopathology. We have an extensive panel of Immunohistochemistry antibodies for exact diagnosis of tumors. We plan to get an autostainer for immunohistochemistry that will help cope with the increased workload. Tumor diagnosis is also made accurate by correlation with radiologic findings and clinical details by our modern Laboratory Information System (LIS) which has made possible to view every patient’s radiology and all other parameters which are mandatory for accurate diagnosis. Moreover, the department is equipped with latest Immunofluorescence techniques for diagnosis of

CLINICAL/Ancillary


renal and skin biopsies. This technique needs expertise and fluorescent microscope in this regard. Nephrologists not only across northern area of the country but also from Faisalabad, Lahore and Peshawar are sending tests for diagnosing renal diseases here. Frozen section facility for quick intra-operative diagnosis is also being used by adjacent large hospitals where the facility is unavailable.

We have a highly professional team that includes six histopathologists with special expertise in renal, liver, breast, head, neck and hematopathology. The technical staff is highly trained and experienced with ongoing training program.

The department has started (FISH) fluorescence in situ hybridization technique, initially oncogene HER2/neu that will be performed for breast and gastric cancer by FISH technique. In the coming year, we plan to use this for the detection of genetic abnormalities in other tumors as well. Our expert oncologists require this for planning exact treatment of cancer.

The department has initiated a tumor registry since January 2012 which will be a source of reliable data for research of cancer affecting our population. Most cancer patients are now discussed with a panel that includes Oncologists, Radiologists, Pathologists and treating Surgeons before their treatment. This Tumor board meeting is one of the big achievements of the departments.

Liver transplant at Shifa International Hospital has added another dimension to our pathology services as we are dealing with biopsies from donors and recipients as well as explanted livers. We hope to gain expertise in this area which is so far uncharted territory in this country.

The surgical pathology department also runs a vibrant residency program to obtain fellowship in this field. We aspire to become one of the best departments of Pakistan comparable to any in the developed world. Microbiology Microbiology lab deals with routine culture and sensitivity testing providing patient care and catering to the needs of our Infection Control department. It is established and equipped with TB lab which started functioning in 2005. We have started new tests for Fabric Industry mandatory for export purposes in 2010 including Quantitative and Qualitative testing. Microbiology has started full range of viral detection including antibody status. We are equipped with a new PCR diagnostic lab which is going to look after the rapid testing of Mycobacterium tuberculosis from smear positive pulmonary specimens. Minimal inhibitory concentration (MIC) testing of some antibiotics has been started in house. Moreover, the Microbiology Department has launched antifungal sensitivity testing of yeasts and molds.


Blood Transfusion ServicesBTS takes more than 10,000 blood donations a year and performs viral screening on more than 25,000 samples. The department provides special services like plasmapheresis, stem cell harvest, and single donor plateletpheresis besides running 24/7 for routine donation and issuance service. BTS performs ELISA testing for many rheumatic and few infectious disorders besides basic immunology for antibody screening. Recently pre-storage leukodepletion and cryoprecipitate production by blood transfusion service has added to the quality of care for critical patients. The department has supported 1st live donor liver transplant program in Pakistan by providing around 2,000 blood products on emergency basis for 35 transplant patients in one year.

Molecular Diagnostic LabShifa International Hospital has recently established a state-of-the-art PCR Lab for the diagnosis of infectious disease like Hepatitis B, C and genotyping. The lab is equipped with a fully automated walk-away instrument which helps in accurate diagnosis with least chances of any contamination. The results are interpreted by American Board certified Pathologists. Our future goals of broadening test base by including CMV PCR, EBV PCR and HLA GENOTYPING BY PCR.

PhlebotomyThe Phlebotomy section deals with collection of blood samples for the required tests. This is the most sensitive area of the Laboratory, which gives the impression of quality of work for the entire laboratory. Blood collection requires skill, a professional attitude and decorum. Proper patient identification and specimen labeling through barcodes, is essential in providing accurate results that can safely be used in decision making by the physician which minimizes the pre-analytical errors.



RadiologyDriven by the insatiable motivation to offer the highest level of patient care, Department of Radiology at Shifa International Hospital is where the action has never ceased. The once planted tiny seed occupying a few rooms in the basement of the hospital has now blossomed into a department in full bloom occupying an entire block on the first floor.

During its multi-dimensional unparalleled expansion, no stone was left unturned to deliver the best the world has to offer in the world of diagnostic imaging and interventional procedures. The foundation was laid by a team of the most highly qualified individuals backed by experience from some of the world’s leading institutes. They made sure the department set of in the right direction and had the vision to take it to the peaks of optimized performance.

A workman is as good as his tools. To make sure expertise of the individuals could be delivered optimally to the patients, the department set out to acquire some of the latest state of the art machines available in the international market. This made the department home to the latest and first 320 slice CT scan in Pakistan. It also acquired the first wide bore 1.5 tesla MRI machine to cater to those with fear of narrow spaces. Yes! We care about our patients. The ultrasound department was further expanded to meet the growing requirements and evening staff added to offer extended services to minimize patient waiting time. The old machines were also replaced with only the highest end equipment to ensure each of our patient got uniform high end imaging. The radiography department was also upgraded with both CR and DR systems being engaged to offer the highest level of digital imaging. In-house nuclear department was also inaugurated to provide patient with complete imaging facility under one roof. Going beyond imaging, the interventional suit was also established and patients were given options of benefiting from this minimally invasive form of treatment which was lacking in the Islamabad region.

To take the department at par with the highest level of technological advancement, the old viewing stations were replaced with the best medical grade monitors so that the finest detail in each image would be manifested. The systems were integrated by PACS system so that all available imaging of the patient could be compared and correlated. Taking things to the next level, voice recognition system was acquired known as Dragon. This unique software would listen to each radiologist, recognizing his individual accent and within no time generate a written document of the dictation. This recent development and expansion of available staff members comes in line with our vision to reduce reporting time and make reports available to patients as soon as possible.

The department has become a benchmark institute and its services have been sought after to train and raise the standard of radiology practice in the more peripheral areas such as Gilgit Baltistan. At least 2 batches of radiologists have been trained in this regards and further batches are in the queue. Yes, we have stepped out to share our abilities with the rest so that the nation benefits! This is above and beyond the already in place radiology training program that churns out highly trained residents and fellows in diagnostic radiology, intervention and body imaging. Sharing is caring and we offer our services to other cities as well such as Faisalabad, Lahore and Peshawar by means of teleradiology.


PharmacyThe department of Pharmacy was one of the initial departments to be established at SIH. We have qualified pharmacists and technicians to serve the community with an aim to provide modern pharmaceutical care. We aim to provide cost effective, compassionate, quality pharmaceutical care through optimum support to all clinical areas with complete guidance information and counseling to health care providers & patients.

We have gradually developed into a multidisciplinary division looking after 450 inpatient beds including 100 critical care beds also Ambulatory care services for 200 plus consultants & 1200 plus out patients. We provide specialized services like Bone Marrow, Liver transplant and Kidney Transplant, Complex plastic & reconstructive surgery and Complex Orthopedic surgery including hip & knee replacement.

Critically ill patients require support beyond what a physician & nurse can provide alone. This support comes from several services that in many ways are core contributors of modern healthcare delivery system. Pharmacy is one of these pivotal clinical support services which are working to ensure safe, effective, patient-centered, efficient & equitable pharmaceutical care to each patient.

Our Pharmacists get trained to dispense evidence based medicines by thorough reviewing of each prescription, critically evaluating and intervening to rectify any prescribing error for safe medication. We are not limited to the traditional role of just dispensing medicines. Our first line Pharmacists, besides being involved as a active health care team member focusing on therapeutic drug monitoring (TDM) for better outcome of therapy & patient safety.

Each and every prescription is reviewed by the pharmacist for completeness and appropriateness of the medications and when required consult with physicians to modify and correct the prescriptions on standardize hospital formulary.

Clinical PharmacyClinical Pharmacy in Pakistan is not a common term understood by patients but is used in Pharmacy practice globally. Clinical pharmacy is a health specialty which describes the activities and services of the clinical pharmacist to develop and promote the rational and appropriate use of medicinal products and devices. At Shifa, clinical pharmacy is a small but strong part of pharmacy services division.

The main focus of present day clinical pharmacist is on Antibiotic Stewardship, Antibiotics are the most widely prescribed drugs across the world. Infections from various microbes and other organisms occur on visit to hospital and clinics. Due to the irrational use of antibiotics, the most emerging danger for Antibiotic therapy is the development of resistance which is increasing over the years. To overcome the issue of resistance new antibiotic policy as per international guidelines has been implemented by division of pharmacy services. Restricted antibiotics are monitored and all antibiotics being used over 2 weeks require approval from Infectious disease specialist prior to further use. Ultimate goal is to prevent resistance to multiple antibiotics and to manage patient on evidence base antibiogram reports.

Drug allergy is the most common neglected part in health care delivery system leading to adverse drug reaction. Pharmacist at the time of admission make sure diagnosis and known drug allergy must extend in patient’s profile which ensures and saves the patient from any drug induced reaction. Moreover, drug-drug interaction is a very important and sensitive part of pharmacist’s services. To facilitate our bench pharmacist we have entered 1005 drug-drug interactions in to our system; and this process is still ongoing.

Holistically, the division of pharmacy services at Shifa International Hospital is playing its role as strong team member along with physicians, nurses, & other paramedics.


Operation RoomsOver the span of 20 years, ORs excelled as one of the leading revenue generating departments in SIH. Shifa International Hospital Currently has 14 operating rooms which are taking care of all minor and major surgeries. To meet the demand of our valued patients and surgeons and to avoid long waiting lists for surgeries, the Management of SIH realized a dire need to develop more Operation Rooms. We have designed 14 new JCIA standard operating rooms which will be functional from June 2014.

14660 surgeries were done in 2012-13 (July-June), and target of 15000 was set for the year 2013-14. It is worth mentioning that ORs is far ahead and with the grace of Almighty Allah will exceed the set target. With the growth rate of 12.1% 15708 surgeries performed in OR.

Liver Transplant and donor Hepatectomy surgeries were started in May 2012. Currently we are doing 4-6 liver transplant surgeries on average each month. New born baby handing over and verification of documents, sex, weight, tag, and thumb scan & foot scan has been implemented.

Theater Management System is developed in collaboration with IT department and will start working in new operating rooms. A big milestone for the past year is the development of new CSSD, designed according to JCIA standards at E-2 floor.

Some of our future plans include, inaugurating new operation rooms at E-2 floor, JCIA implementation in Pre Op, Anesthesia, ORs, Recovery Rooms and CSSD, automation of Pre-Op, Anesthesia, ORs, Recovery Rooms and CSSD (software development done) and online tracking and reporting mechanism in collaboration with IT department. Starting Operation Room Technologist program with the collaboration of STMU through SIMT is also in our pipeline.


SupportFood and Nutrition Services Department (FNSD)FNSD is dedicated to fulfill the nutritional requirements of the patients, their attendants, employees and medical staff. A team of qualified dietitians regularly supervises the preparation of food including all special diets like NG feeds, Renal, Hepatic, Neutropenic, Diabetic and blenderized spoon feeding etc. Accordingly, it is ensured that right diet and hot meals are served to the patients at all times. FNSD ensures that a high standard of hygiene is maintained at all times. Food served to the patients, employees, medical staff and visitors is prepared in a strictly hygienic condition. This is accomplished by regular medical checkups of all food handlers at regular interval. Indoor air quality is maintained as per ASHRAE standard in coordination with maintenance department.

Patients’ service food trolleys are electrically heated with digital temperature display and temperature control thermostats. During distribution, trolleys are plugged in at floors to ensure that meals remain hot at the time of serving.

We provide around 1500 meals to the in-patients daily. In between meals, appropriate snacks according to their dietary requirements are also provided regularly. Approximately 5000 meals are provided in four cafeterias and lounges for Consultants and Managers/MOs/PGs, serving sumptuous and healthy food for all. Shawarma and salad-bar in Cafeteria-I is another delight for our customers. Subsidized/Economy meals for employees are always appreciated and praised.

To cater our clientele both in IPD and in the cafeterias, a fully equipped and well designed kitchen has been established to improve employees working conditions and to help them to perform their duties more efficiently. This newly designed kitchen has reduced the amount of injuries, discomfort and fatigue in the kitchen.

FNSD is ISO certified by the URS/UKAS. At present we are hopeful to achieve JCIA certification in near future. Catering services are another unique part of the Food & Nutrition Services Department, where delicious cuisine is served at official seminars and functions with the same consideration for health and hygiene. The professionalism and culinary skills, of our qualified staff are always admired by food lovers.


Facility Management Services (FMS)In line with the corporate policy of responsible and ethical business practices, FMS undertook various initiatives to conserve energy, promote safety and play its part in facilitating the patients. Variable Frequency Drives have been installed in all new constructions involving high HP rating motors. Energy efficient lights were installed in new and renovated areas and replaced in old areas as well. All HVAC filters were cleaned at regular intervals to avoid clogging and thereby reducing electric consumption. Power factor of generators and IESCO was maintained at 1.0 and 0.9 respectively so as to avoid energy losses. Moreover, split units were set at 26 0C to conserve electricity consumption. Lights installed in various areas were re-arranged to reduce number of extra lights. Laundry boiler and domestic water heaters were chemically cleaned for scale removal and to ensure better heat exchange and improved performance. Waste Heat Recovery Design has been finalized and offers for supply & installation of requisite equipment were received and are being evaluated.

As a result of these steps, maintenance department was able to save Rs. 2,200,014 (2.2 M) per month during peak season. This is despite the fact that new areas of 2500 square feet were built and 213 tons air-conditioning were added.

When it comes to the environment, we take every required measure to protect it. Medical waste gets segregated at floor levels. This is in accordance to international standards on waste management. After that it gets transported to an air-conditioned room near Incineration site in covered trolleys. Post incineration, the medical waste ash gets disposed off in brick lined well in accordance to Ministry of Environment instructions. In case of non-operation of our Incinerators due maintenance activities, an alternate arrangement has been made with Attock oil refinery for safe disposal medical waste.

The Radiation facility fulfills the international standards and is regularly being inspected by Pakistan nuclear regulatory authority (PNRA) and International atomic energy Commission (IAEC). Moreover, proper waste management protocols are being followed for chemical usage in laboratory, OT and housekeeping.

Occupational Safety &HealthThe old and obsolete fire detection system is being replaced with state of the art addressable fire alarm system. We have recently laid fire cable in OPD and external areas have been accomplished. Smoke detector and exit signs will be put in place before end of September 2014 to facilitate patients, visitors and staff in the event of any emergency.

Moreover, the department has provided appropriate safety equipment to workers during construction work, safety and warning signs have been installed, inflectional control department carrying out the activities to identify any risks, hand rails installed at various locations of the hospital, exit evacuation plans placed in patient rooms, fire equipment has been procured, employees being vaccinated, appropriate Personal Protective Equipment (PPE) used in Lab (masks, goggles, head caps, gloves, lab coats, full attire (for infectious)) is available, and we make sure radiation workers get annual medical checkups.


Biomedical EngineeringBiomedical Engineering Services Department is responsible for operation, maintenance and repair of all held biomedical equipment. Our time and effort is spent in repair, maintenance, calibration and inspection of biomedical equipment to ensure its proper functionality and to avoid long down time. The Biomedical department with a team of qualified, trained, skilled and experienced team of Biomedical Engineers and support technicians managed over 96% uptime of biomedical equipment. Shifa International Hospital has around 2700 pieces of Biomedical Equipment on its inventory. This year total of 7357 repair request was received out of which 6697 were resolved. Only 209 pieces of equipment and minor components were declared defective.

All repairs of biomedical equipment are performed in a timely manner considering the criticality & urgency of equipment. To minimize down time of biomedical equipment, they are being monitored on daily basis. Biomedical Engineering Department adopts proactive approach, due to which it receives average 15 to 25 repair requests each days, majority of which are rectified on same day. In the following year Biomedical engineering department achieved over 96% uptime of 98% of biomedical equipment. The department is also responsible for inspecting all incoming newly inducted biomedical equipment.

We are also into enhancing technical skills and expertise to all support engineers and operational staff by providing trainings on newly inducted equipment through product experts of the supplying firms. Similarly, senior staff of Biomedical Department are assigned different topics to deliver lectures to share the knowledge and experience on biomedical equipment. Biomedical Engineering department is also focused to meet the quality objectives & support of patient care, JCIA procedures, enhance technical as well as professional standards to manage the equipment work flow.


Management Information ServicesManagement Information Services is the corner stone of all the Data for Shifa International Hospitals Ltd. The department has made is possible not only for physicians to access Health Records of the patients but even patients themselves can get access to it from electronic devices.In addition to the records, the Management Information Services has introduced 1st time in Pakistan for the physicians to access radiology images at their offices and even their homes.

The major highlights of last year has been the introduction of the EMR in the Emergency Room, EMR at selected clinics, Filmless at the Radiology department and Emergency Room, Filmless at selected Outpatient Departments and Inpatient Departments, Dragon (Speech to Text) for the Radiology reporting by the Radiologists. The department has also introduced the access of the Patient’s Health record through Shifa’s Portal for its Patients.

MIS is looking forward to bring further automation in Credit and Collection department, Supply Chain, Inpatient Services and to help our patients spend less time at the Cashier points to process their payments by the next year.

We have improved our delivery of services via Performance Improvement Services, Financial and Enterprise wide Data Analysis, Compliance with vigilant Monitoring, introducing New Technology and Technology Enabled services, aligning the needs of the MSA and other departments with software enhancements, invest in Technology (Software and Hardware) with short term and long term vision, smarter computing and putting in place Data intelligence by software for everyone to use under Oracle Database.

MIS software deployments are more business and clinic centric. By doing this, the end users are becoming more innovative, efficient and competitive through the help of IT solutions. The business model is not static; it is evolving as the needs of the end users are changing via various platforms of interactions, i.e. Strategic Planning, Business Planning, Center of Excellence and the Boards directives.

We at Shifa International Hospitals Ltd are following the International best practices of Software deployment. It is based on Three Tier Architecture. Our Workstations are predominantly Open source under Red Hat and our Servers are deployed on Red Hat Operating Systems.

Management Information Services is segmented in Software and Application Engineering team, Hardware support team, Systems and Network Engineering team, Database Administration team, PACS team and Software training and Operation team which are led by 2 Senior Managers, a General Manager and a Chief Information Officer.

Management Information Services is looking forward the next year in completing the EMR for ALL Clinics and in the In Patient Services and the entire hospital to filmless.


Supply ChainThe essence of our Supply Chain management is to ensure timely provision of quality material to various end users all over the hospital, while maintaining optimum inventory levels. The department deals with a wide range of supplies, from medical consumables to food and beverage, covering all the items necessary in the day to day operations of the hospital. Our team of dedicated professionals is equipped with automated solutions to ensure effective and efficient control over the entire supply chain. From need assessment to planning and monitoring stock levels, our supply chain is geared up to cater to the growing requirements and the challenges posed in the healthcare sector.

Procurement Hospital operations cannot be successfully executed without an efficient Procurement department. All areas of a healthcare organization seek support from procurement for the timely arrangement of essential supplies and equipment. Shifa Procurement team is trained and specialized to manage the comprehensive purchasing process incorporating all internal and external stake holders, taking in to considerations the potential risk factors which may jeopardize the organization interests. Procurement Department ensures cost effective hospital buying without compromising the quality. We make sure to purchase supplies and equipment from across the Globe well before stipulated deadlines.

We have launched SRM (Suppliers’ Relationship Management) program where all suppliers have been categorized strategically according to their importance and business needs. The SRM program has resulted in significant and tangible improvements. All purchasing functions are integrated with main IT system, numerous system based reports have been included such as cost monitoring reports supplier evaluation reports, key performance indicators reports and many other. System up gradation is supporting all procurement individuals in order to efficiently monitor and plan their activities.


Security

In the present day era, Safety and Security Department is confronted with lot many challenges. The dedication and pragmatic approach adopted by the department has enabled the department to sail through these challenges in a befitting manner. The department contributed positively in providing a safe and secure atmosphere enabling all members of the hospital to focus on their complex and extremely sensitive duties in an efficient fashion. The department is equipped with state of the art technology which helps in achieving their objectives efficiently. The department has successfully controlled the crime rate and on many occasions has apprehended the culprits who were causing harm to the hospital and its employees. Wall fences have been raised by 3 ft from corporate office to Gate 7 to avoid trespassing.

Project DepartmentThe Project Department works throughout the year to plan and execute improvement and development of facilities at Shifa International Hospital. Following tasks were completed in the year 2013-14.

1. E-2, F-2, H-2, 14 Nos. Operation Theaters have been constructed. (40000 Sft. Area) 2. Development and addition in the Paeds Clinic.3. Development and addition in the Cardiac Clinic.4. Construction of a Cafeteria, Kitchen and Roti Plant. 5. Construction of offices for Department of Human Resource & Credit & Collection. 6. Construction of Link Bridge A-3/B-3.7. Construction of PCR Lab, TB Lab, Offices at Block D-4.8. Construction of New Area for Ophthalmology Clinic (Under Deck).9. Addition of 3 No’s 2000 Kva Transformers for wapda power.10. Development and addition in the OBs/Gynecology area floor B-1.11. Construction of Employee Health Clinic Under Deck area.12. Construction of Executive Health Clinic Under Deck area.13. Architectural and Structural design for F-Block extension work in progress.


Quality AssuranceQuality Assurance department is responsible for coordinating activities that are designed to fulfill the hospital’s vision of delivering quality healthcare service through continuous monitoring and improving the quality of healthcare services provided to its patients.

In recent years, the increasing costs of healthcare in the presence of rising demands and limited resources has resulted in a greater emphasis on providing quality care to the patients. Achieving better results in healthcare means finding new and often innovative ways of looking at old and emerging problems ensuring that best practices are adopted and by appropriate utilization of all available resources.

Our mission is to ensure all patients receive exceptional care at Shifa International Hospitals Ltd. This is achieved by developing hospital-wide systems to deliver care based on current medical evidence and technology. Efficient processes with strong communication are developed. All the processes are designed to provide the most effective ‘patient-centered’ care possible. The Quality Assurance Department focuses on proactive systems to achieve these goals, and includes feedback from front-line staff as well as from patients.

We assist the hospital leadership to define priority areas for quality improvement and to measure and assess these priority clinical and management processes. The department is also actively involved in assisting departments and healthcare providers in the improvement of organizational performance and outcomes.

Quality Assurance is actively involved in various activities centered on process improvement, risk management and auditing and monitoring. It uses information from incidents report and complaints, monitoring activities and combined with accreditation requirements to identify room for improvement and to initiate Quality Improvement Projects.

Quality improvement is the responsibility of all departments and so Quality Assurance actively involves all hospital departments and services, and focuses on improved health outcomes and the prevention and reduction of medical errors. All of the quality assurance and performance improvement activities are based on the principles of safety, efficiency, effectiveness, timeliness and patient-centeredness.

Currently hospital is ISO 9001:2008 certified and working actively towards Joint Commission International Accreditation.


Nursing Education Services (NES)Nursing is the largest health care profession and plays a vital role in provision of patient centered care and smooth running of health care system. Therefore, the department of Nursing Education Services (NES) provides the educational programs to the nurses and paramedical staff across the hospital in order to ensure safe and quality patient care. Health Care Education Division (HCED) is committed to provide rigorous training and grooming of our on board staff to enable them for clinical excellence round the clock by demonstrating caring and highly professional attitude towards the patients and families we serve.

Housekeeping Housekeeping Department aims to provide clean safe and free from contamination environment and minimize the risk of exposure to infection. We focus on providing cleaning services to satisfy our valued patients, visitors and our hospital employees. The department puts its efforts in achieving the maximum efficiency possible in the care and comfort of the patients and in the smooth running of the hospital. Our daily tasks include dry and wet mopping of surfaces, scrubbing and polishing of all floors, sanitizing disinfection and spot cleaning of all area’s (critical areas, sub critical and non critical), and waste management (collection, transportation, disposal of waste).


HorticultureThe Horticulture is an environment friendly department that is engaged in beautifying the premises. With 16 efficient and dedicated staff members, the department greatly contributes to appearance of the hospital and provides the services at an area of approximately 1,93,392’ (sq/ft).The team also actively participates in displaying plants on different occasions i.e. seminar, workshops, programs etc. of the hospital. In addition, Horticulture Department successfully manages a Green Area (outside of Shifa) for the Capital Development Authority (CDA) green belt i.e. City School U-Turn to Gate # 10 for the past 18 years.

Linen & LaundryLinen and laundry is a recognized support service which not only ensures prevention and containment of hospital infection but also contributes to widen the image of the hospital in the eyes of public. Laundry staff provides on average more than 8000 per day washed and disinfected linen in the shape of bed sheets, blankets, staff uniform, operating room dresses, pillow covers etc.


Human Resource DevelopmentHuman capital development is one of our initiatives among our top imperatives. HR department provides a coherent approach to the support and development of the hospital’s most important asset - our staff. Shifa employs more than 4000 people across many healthcare, medical, paramedical, support and administrative disciplines. We are committed to ensure that the culture, quality and commitment of staff continuously contribute to improving patient care and make a real difference to those we serve together.

We are proud of our successes in the past few years and in particular of our achievements as an employer. However, we are not complacent and recognize the need to continue to develop, innovate and improve as an employer in order to deliver better and better services. Shifa accords utmost importance to the development of human resource and hence the financial year 2013 – 14 too witnessed numerous initiatives and endeavors designed to enhance the company’s human capital.

We are moving towards an integrated holistic HR strategy to encompass the traditional building blocks of HR into Strategic Business Units (SBUs). In recent years we have invested heavily in HRIS; now the direction is towards enhancing HR portfolio.

The rapidly transforming business landscape poses many human resource management challenges which will continue to evolve for years to come. During the next few years, a broad set of organizational challenges must be addressed that have management, workforce and development, technological, and especially financial implications. HR team is committed to understanding the business and professional needs of those we serve and to implement “Best practices” within the HR profession that support the organization.

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External Services DivisionHealthcare governance is still a big concern in Pakistan. The economic rapid growth has lifted millions out of poverty level in the country, years spending on healthcare and on other hand providing quality care is still lacking. Private sector is the only source which is stepping towards modernization and they are bringing new healthcare techniques to face the new disease challenges in the third world countries-Pakistan. Shifa is contributing for this cause. Recently Shifa has opened a new hospital at G-10/4 sector of Islamabad which will provide identical health care service like main Shifa in many specialties including OPD clinics, Dialysis, Neuro-rehab unit, In patient service of 30 Beds, operation theater, OBS & Gynea, Urology and many more. This is the objective of External Services Division to penetrate in the country and it has achieved another milestone.

Under the umbrella of ESD Faisalabad Hospital which was established in August 2011 has started Dialysis, ENT surgeries and has extended NICU last year. This year they have plans to start ERCP procedures as well. It would not be wrong if Shifa Claims that it has provided the top quality Healthcare services to the residents of Faisalabad.

In addition to the above two Hospitals, ESD has three medical centers in Rawalpindi/ Islamabad, Pharmacies in double digit and around 50 Lab Collection points in the provinces of Punjab, AJK & KPK.

Shifa Pharmacies:Shifa Pharmacies are focused on optimized use of medicines supporting people to live healthier lives. There are 16 pharmacies nationwide providing easy access to local communities which are regularized through system documents; SOP’s ensuring management discipline as well as quality in people & in products. Shifa does not compromise on quality of drugs hence; doctors have confidence sending patients to Shifa Pharmacies. This Shifa has achieved only in two to three years struggle working as market partners with its competitors. Shifa believes in sharing best practices, therefore, it provides training on various subjects/topics to the general public. Diabetic Club & Cardiac clubs are examples in which patients are registered. Shifa provides counseling and patients are monitored every time when they come to Shifa Pharmacies. It is because Shifa has experienced and qualified pharmacists and Shifa is proud of its colleagues.

Shifa LPPs:Shifa International is leading in the provision of quality & reliable laboratory diagnosis. Shifa External Services Division is operating 45 lab collection points nationwide with a mission of “high quality convenient outreach laboratory services”. Our lab collection points provide personalized customer services with consultative support from affiliated pathologists and lab professionals. LPP network is providing competitive lab diagnostics services to community based physicians.

Mr. Abdul Majeed MotiwalaCOOExternal Services Division

Ms. Sabiha FerozeCFOExternal Services Division

Mr. M. Atif AminSr. ManagerExternal Services Division

Mr. Kamal AhmedCOOShifa Distribution Network

Mr. Anjum EhsanDirector OperationsShifa G-10 Hospital


Shifa Medical Centers:Shifa medical centers are running successfully at following locations

• Shifa medical centre F-11

• Shifa medical center PWD

• Shifa medical center saidpur road

Being focused on patients convenience pharmacies and lab pick up points are also established at these medical centers.

Shifa International Hospital – G-10, Islamabad

Clinical Services:Shifa International Hospital – G-10, Islamabad soft launched has been initiated on August 11, 2014. Shifa G-10 has team of highly experienced consultants working across all specialties who ensure that all patients receive high quality, personalised care. Our consultants are supported by a dedicated team of nurses, radiographers, health care assistants and technicians.

1. Out Patient Services / Ambulatory Care Shifa International G-10/4 has started outpatient clinics in the field of Internal Medicine, Pediatrics, Obstetrics &

Gynecology, General Surgery, Nephrology, Urology and Dermatology.

2. IPD Services / Post Stroke As a unique feature, Shifa G-10 Neuro Rehabilitation Center constitutes of 10 Bed specifically for post stroke patients

who needs extended stay in the hospital. Shifa G-10 also consists of 13 bedded urology center supervised by the expert urology team in the region.

3. Diagnostic Facility We are clinically led and quality driven and dedicated to providing our patients with the highest quality diagnostic

imaging service possible. Our Services include Diagnostic Laboratory (LPP), Diagnostic Radiology, Portable X-Ray, Mammography, Ultrasound, Dexa Scan.

4. Pharmacy: A well stocked pharmacy has been established within the hospital building which can provide all the quality medicine

to the indoor and outdoor patients at discounted rates.

5. Services in Progress

2 Units of Dialysis

2 State of the art Operation Rooms

Mother & Child Care (Labor Room)


Shifa International Hospitals, FaisalabadLocated on main Jaranwala road, Shifa International Hospitals Faisalabad is accessible to patients round the clock even through public transport.

Out Patient Services: Highly trained foreign qualified consultants are available to treat the patients in different disciplines of medicine & surgery. Aesthetically planned consultant rooms are available for visiting consultant practice

In Patient Services: General Wards, Semi Private and Private Rooms with facilities like central Oxygen supply, central air conditioning, and electronic beds with TV and refrigerator are available for admission of patients.

Labor rooms and Operation Theatre: Fully equipped labor room and Operation Theatre is available to perform all kinds of planned & emergency surgeries.

Neonatal Intensive care unit (NICU): For New-borns requiring critical care a most modern NICU has been established which is equipped with Incubators, ventilators, infant warmers and phototherapy machines.

Diagnostic Services

Radiology: Besides Digital X-Ray machines for plain and contrast X-rays and ultra sound facilities, a 64 slices Toshiba CT Scan is fully functional for all kinds of plain and contrast CT scans. Highly qualified Radiologists report on CT scans. Open (.35 Tesla) MRI machine is fully functional to provide best quality magnetic resonance imaging services. Both CT scan andMRI are linked with Shifa International Hospital Islamabad through PACS (Picture Archival and Communication system) for reliable case reporting and diagnosis. Mammography: A modern Mammography machine has been installed for early diagnosis and screening of breast cancer.

Clinical Lab Services: A modern clinical lab is equipped with sophisticated and advanced lab equipment to provide quality and reliability in clinical lab services. Shifa International Hospital Faisalabad performs tests in the disciplines of Haematology, Bio Chemistry, Microbiology, Chemical pathology and Histopathology. Lab also offers reliable blood transfusion services. Hospital lab also serves to various Lab Pickup Points in satellite areas of the city to expand outreach of Shifaís quality services.

Pharmacy Services: A well stocked Pharmacy provides all the quality medicines and drugs to the indoor and outdoorpatients at discounted rate.

Ambulance Service: A fully equipped ambulance is available for transportation of critically ill patients, Ambulance hasbeen equipped with oxygen and ventilator to manage serious patients during transfer.

Electricity Backup: 640 KVA generator is available to ensure uninterrupted power supply to the admitted patients and hospital departments.


Our Colleagues - Our Pride

Dr. Malik iMaD khanGM Medical Services

Mr. MuhaMMaD aslaMGM Credit & Collection

Mr. iMran farooqiGM Lab/Revenue Management

briG. (r) Dr. lubnaGM IPD/Nursing Division

Mr. M. ahsan hussainGM MIS

Malik MuhaMMaD uZairGM HR, Radiology & Clinical Services

Mr. WaZir MuhaMMaD,FCAGM Accounts & Finance

Mr. shafqaT ali haMDaniGM Pharmacy

sYED asiM abbasGM Maintenance & Utilities

Mr. s. JaWahEr ahMEDChief Information Officer


Mr. MahMooD a. MirZaDirector SP & BD

EnGr. aTEEq ahMEDProject Director

Ms. nuZhaT sulTanaDirector Nursing Education

Mr. afZaal ahMEDChief of Protocol

Dr. ZEEshan bin ishTiaquEDirector Quality Assurance

Ms. YasMEEn saGGuDirector Clinical Nursing

Mr. aqEEl MirAssociate GM Purchase

Col. (r) Dr. M. naEEMEvening Administrator

Mr. aMEr farooqAssociate GM & Senior Editor Media Division

Dr. ali shaikhAGM Supply Chain


Our Colleagues - Our Pride

Mr. shuJa raufSenior Manager Marketing

Mr. kashif khanSenior Manager Rehab

Mr. aZMaTullah quraishiSr. Manager Media Division

Mr. shaMs ur rEhManSenior Manager Accounts

Mr. a. D. ZiaSr. Manager FNSD

Mr. M. aslaM ChohanSr. Internal Auditor

Mr. M. shafqaT iqbalSr. Manager MIS

Mr. JaVED Yar khanSr. Manager MIS

Mr. M. Zafar iqbalChief Engineer (E&H)

Mr. aZiZ ur rashiDSr. Manager OPD


Ms. raisa kausarSr. Manager Nursing

Ms. kalsooM raMaZanSr. Manager Nursing

Mr. MuhaMMaD naEEMCompany Secretary

lT. Col. (r) Dr. M. laTifMedical Director

Mr. MuhaMMaD saEEDHead of Internal Audit

Corporate Resource

Shifa International Hospitals-Faisalabad

Mr. nabEEl ahMaD MalikSr. Manager Marketing &Business Development

Mr. M. riZWan akhTarSr. Manager Procurement(Hospitals & Project)

Mr. salMan faisal qurEshiAssociate Manager CEO Secretariat


Finance & Accounts department plays such a critical role in rapidly growing organizations like Shifa that cannot be overemphasized. Shifa International’s operations have seen phenomenal operations in couple of years after diversification of Company’s business and subsequent geographic expansion. This also ledto increase in the activity and operations of Finance & Accounts department. The department is looking after all the segments of the Company, which are categorized in Shifa Hospital Islamabad, Shifa Hospital Faisalabad and at our other outlets having medical centers, lab pickup points and pharmacies located in Islamabad, Rawalpindi, Jhelum, Gujrat, Gujranwala, Lahore, Faisalabad and Peshawar.Finance and Accounts department has played its role in the development of the Company since its very beginning. The role of finance has been emerging from a conventional viewpoint to an innovation viewpoint. The transformation of the department involves Data Management, Planning and Budgeting, Performance Management and Business Intelligence. Finance department is of utmost importance as it is responsible for financial planning, thus ensuring that adequate funds are available for achieving the objectives of the Company. The functions of finance that includes tax, treasury, risk management which will contribute to the achievement of the strategic objectives and goals of the Company. Accounts department performs the

recording, retrieving, financial reporting and analyzing functions. The various stakeholders of the Shifa are directly or indirectly look towards Finance and Accounts department for its services. Management, employees, consultants, shareholders, vendors, bankers, regulatory authorities are the major stakeholders with which department regularly interacts. It also ensures compliance with a complex mix of regulatory requirements. These include legislative, financial, taxation, funding and governance matters and involve satisfying a wide range of agencies by designing processes, capturing or collecting information, preparing summary or analysis submissions and dealing with queries, either ad hoc or in response to information supplied.Department is also working on its strategic imperatives to enhance level of productivity in various departments of the Company. During the year under review, we closely coordinated with various other departments to cut the escalating costs and wastages. Finance & Accounts department regularly interacts with other departments for variance analysis as compared to previous periods and budgets. Costing of our services is also another important activity which is regularly carried out.Finance & Accounts department has to ensure that Company’s financial statements are in compliance with various statutory, regulatory and International Financial Reporting Standards requirements. It is the prime focus of the department to ensure that Company maximizes its strategic capabilities and to create value from Shifa’s capital budgeting, financing, and net working-capital activities.

Office of the CFO


CorporateSocialResponsibility


Shifa Tameer-E-Millat UniversityThe leadership of Shifa International Hospitals, Shifa Foundation and Tameer-e-Millat Foundation conceived the idea of establishing a University to shoulder their part of responsibility in dealing with the nation building process.

The efforts of dedicated leadership along with tireless collaboration of Shifa Family (Shifa International Hospitals, Ltd., Shifa Foundation and Tameer-e-Millat Foundation) have borne fruit with the incorporation of Shifa Tameer-e-Millat University (STMU). Shifa Tameer-e-Millat, being a not for profit entity, envisions to provide a platform for research oriented quality education to students from all over Pakistan and across the globe strictly on merit. The criteria for admission is independent of financial position and provides equal opportunities to all according to defined merit. STMU is committed to excellence in the development and creation of knowledge. It aims to provide market-based modern education with highest possible standards in a wide range of disciplines to enable our talented youth to compete both within and outside the country.

STMU is a federally chartered, multi campus university. The campuses are equipped with state of the art facilities and equipment and highly qualified faculty. Shifa Tameer-e-millat University while working within its parameters of charter to create and disseminate knowledge in the fields of Health, Engineering, Business, Basic and Social Sciences. Character building of its students in keeping with our religious, historical and cultural ethos remain an integral part of the education.

Shifa College of Medicine and Shifa College of Nursing are constituent colleges of Shifa Tameer-e-Millat University. STMU has established another important department by the name of Allied Health Services. It offers courses in Physical Therapy (DPT), Pharmacy (Pharma-D), Medical Lab Technologies (BSCMT) at undergraduate level. This department also offers professional development courses for Cancer Medical professionals, leading MBA and MS degrees in Health Services Management. The University management comprises of highly qualified and experienced educationists and professionals with strategic visionary approach to make this university as one of the best in the country especially in the field of Health Sciences. The faculty of the university is foreign qualified, experienced and very much exposed to modern teaching techniques and conscious of the needs and demands of global trends in academic standards.

Shifa FoundationShifa Foundation was founded in 1991 and has ever since been providing quality healthcare services to the underprivileged people of Pakistan. SF offers a range of services dealing in healthcare provision, management of malnutrition, reestablishment and development of healthcare facilities, development of clean water facilities and Gender Based Violence (GBV). Work is also being done on imparting health and hygiene education, trainings in different fields and provision of consultation, OPD, IPD and surgeries (at a subsidized rate or free of cost) to the deserving.

Tertiary Healthcare Services are being provided since 2001 not only through free consultations but also with medicines, lab services and tests at subsidized rates. During 2005, SF assisted the Internally Displace Persons (IDPs), who were suffering from the trauma of the devastating Earthquake. To support these destitute, SF joined hands with many others by dedicating 110 beds, conducting 400 operations and successfully treating 260 patients.

After the country-wide flood emergency of 2010, SF streamlined its activities to aid the devastated population across the 4 provinces of Pakistan. Initially, envisioned to cater to emergency specific needs, the ‘Humanitarian Assistance Program’ was formed. These needs often coinciding with those of the poor population in general prompted SF to reform its original objective to address a wider range of socioeconomic issues, making it gradually transition into the development sector.

SF has till now treated more than 2 million deserving patients in far-flung areas of Pakistan for communicable, chronic


and acute diseases and other medical complications. We have also treated around 70, 000 malnourished patients and screened and treated 3,

000 students with eye diseases in Gilgit-Baltistan. We have improved healthcare service delivery through revitalization, refurbishment and modernization of 77 healthcare facilities and trained more than 600 Healthcare providers. The department has raised awareness on Health, Hygiene and Infant & Young Child Feeding through conventional and electronic means. Moreover, we have also supported Sindh and Gilgit-Baltistan Government Health Departments in Extended Program for Immunization (EPI) and Polio Eradication Initiative (PEI) campaigns and the government’s efforts to combat dengue epidemics.

HealthcareAccording to the official data, only 12,804 health facilities exist

in Pakistan (which include DHQH, THQH and BHU) to serve a large population of 180 million. The availability of already lacking

healthcare services worsened during the floods in 2010, when 708 Government healthcare facilities within Sindh only, became

un-operational. Realizing the need and the urgency, SF formed partnerships with International donors and began reestablishment

efforts to restore these facilities and make them operational again. Due to the inaccessibility after flooding, SF also decided to run 19 Healthcare

Mobile Units to reach out to the village level.

SF also provided Basic as well as Comprehensive Emergency Obstetrics, Neonatal and Child Healthcare services (EmONC) to the needy thus, strengthening the Maternal, Neonatal and Child Healthcare (MNCH) services (which include Antenatal care, postnatal, referral pathway, family planning and immunization/vaccination) in Sindh and Gilgit-Baltistan.

Moreover, SF has been trying to bring changes and innovation to the already existing healthcare structure in order to improve the healthcare services in the country. In line with this, SF operated a “Telemedicine” facility for hard-to-reach areas like Gilgit-Baltistan, which is sealed from the rest of the country for majority of the year. This facility is utilized by the residents consistently for online consultation from the highly qualified doctors of Shifa International Hospital. It is this idea that won the award of “Most Innovative Project” out of 1,364 projects during UNOCHA Internal Global Workshop. Due to the success, the program was also replicated in Mirpurkhas.

Furthermore, SF has aggressively worked to combat seasonal and communicable diseases such as Acute Respiratory Infection, Diarrhea/Cholera in the underdeveloped regions of Sindh, Punjab and Gilgit-Baltistan. SF also played its part in reestablishing the DEWs channel to preemptively combat any potential epidemic situation.

In addition to collaborated work to help the needy, SF’s self-sustained Tertiary Healthcare Servicesassist through consultations, IPDs, OPDs and surgeries to as many as 500 patients on daily basis. These ranges of services are being provided with respect to medicine, general surgery, pediatrics, Obs/Gyne, ENT, eye, family medicine and radiology.

Food and NutritionAccording to WHO, malnutrition is the underlying cause of more than half of child mortality and as per the 2010 Nutrition Survey, the nutrition indicators of Sindh alone are worse than of countries in Sub Saharan Africa. SF focused on managing the malnutrition of the women and children of the underdeveloped areas achieving it through a Community Based Model. It included screening, identifying and treating thousands of malnourished children and women within the targeted regions of Umerkot and Shaheed Benazirabad Districts. Based on the success of these two districts, SF has ventured into Sanghar as well, which is another district in Sindh.

Water Sanitation and Hygiene (WASH)More than half the population of Pakistan is deprived of proper sanitation facilities, while 15.9 million people do not have access to safe drinking water. This causes deadly water-borne illnesses like diarrhea, worm infestation and skin diseases. SF contributed through raising awareness on these issues and has reached out to millions of people.


Furthermore, during a visit to Katpana, SF found various prevalent diseases such as severe diarrhea and other stomach illnesses that indicated presence of Arsenic in the drinking water. Arsenic is an odourless and colourless mineral that has been dubbed as “King of Poisons” due to its extreme potency and can prove to be fatal even in minute quantity. SF provided clean drinking water through a clean water bore, 21 sub-tanks and construction of a main water reservoir along with necessary plumbing, pipelining and primary as well as alternate water pumps.

Shelters and Non-shelter food itemsFollowing the 2011 floods and rains in Pakistan, it was in Sindh only that, 796,861 houses were affected out of which 59% were damaged while the rest were destroyed completely. In these trying times, one of the immediate need SF identified was the lack of shelters and other life essentials. It provided more than 500 shelters to the unfortunate IDPs of Umerkot along with other essentials such as blankets, plastic sheets and kitchen sets.

TrainingsShifa Foundation has invested considerable amount of resources in developing its training services which are now a part of SF’s routine activities. Even currently, SF is running a training program for the entire Gilgit-Baltistan Health Network. These are primarily divided in 3 streams, namely Management, Technical and Clinical but further branches out into 17 more fields i.e. specialized trainings, radiology, Health Management, healthcare quality etc.

MediaSF recognizes the impactful role of media in bringing a positive behavioral change in population at large and thus, envisioned to go beyond conventional media ways. During the pursuit, SF developed its own in-house department, “Healthy Media” which started functioning in June, 2012. Healthy Media team comprises of professional producers, editors, cameramen,

animators and designers.

This platform has been used to support the social, humanitarian and developmental services with the help of documentaries, videos, spots (Short documentaries for

30 seconds), commercials and promos. Healthy Media is equipped with state of the art equipment to produce documentaries, general video production,

post-production editing , 2d and 3d graphics, special effects, print campaigns, advertising, seminars, conferences, training and event coverage.

Through Healthy Media, SF also created awareness on diseases such as pneumonia, diabetes, stroke, AIDS, cancer, tuberculosis as well as other areas such as patient rights & responsibilities, patient identification in healthcare settings and educational documentary for new mothers. Documentaries on World Health Day, diabetes and liver transplant have also been aired on Local Television Channels such as ATV and PTV. Moreover, training videos have been produced on themes such as nursing, pharmacy and JCIA (Joint Commission International Accreditation). 3-D technology is now being explored

to develop detailed videos on Angiography, heart transplant and liver transplant.

Tameer-E-Millat FoundationTameer-e-Millat Foundation aims to provide quality education to every

individual, in all academic and professional disciplines, without discrimination of gender, race, religion, socio economic status and ethnicity. We started out

with just one school in 1987 and now have more than 200 schools in Pakistan. Our network comprises of 59 model schools, 180 community primary schools, 17, 508

students and 804 teachers.

FFCL sponsored transport facility for TMCEFauji Fertilizer Company Ltd. (FFCL) is a major stakeholder in the urea market of Pakistan since 1978. FFCL has been kind enough to continue its support for promoting education. Both FFCL and TMF agreed to jointly work out for transport facility and students’ sponsorship at Tameer-e-Millat Institute of Technology (TMIT). FFCL took the initiative in this regards and sponsored four Suzuki Bolans and one Toyota Hiace as a transport facility for TMCE. Sona Foundation of FFCL had already donated Olive plants in 2012.

Dandka School OpenedOn February 10, 2014, TMF organized a ground breaking inauguration ceremony of The Maria-Helena Tameer-e-Millat


Primary School in Village Dandka, Tehsil Phalia, District Mandi Bahaudin, Province Punjab.

Establishment of science labs in girls’ schoolsTMF established science labs in two of its schools, Hafiz Maqbool Elahi Tameer-e-Millat Girls High School, Pind Dadan Khan and Tameer-e-Millat Model School for Girls, Dharyala Jalip. This was made possible by the financial assistance of the Australian Direct Aid Program (DAP). The primary focus of both these schools is to uplift the female students of the underprivileged community by providing quality education so that they may

contribute towards society.

TMF organized training program for in-service teachersAn inspiring and vested teacher is considered to be a vital asset of any school.

Since its establishment in 1987, TMF has organized more than 250 Teachers’ training programs and seminars which proved to be fruitful for the professional development of

about 4,000 teachers. Recognizing the commitment and dedication of the teachers and the dire need for continuous

training programs for in-service teachers, Vice Chairperson Dr. Samea K. Ahmad, is determined to keep this tradition going in order to equip the teachers with the latest developments in teaching methods.

Collaboration With Punjab Skills Development Fund Tameer-e-Millat Foundation in collaboration with the Punjab Skill Development Fund (PSDF) sponsored by UKAID has initiated skills development training. The prime purpose of this training is to remove poverty and dearth by producing skillful labor force. The training is intended to result employment and business opportunities to uplift living standards of the youth. This project is focused on the poor and vulnerable populations of the six poorest districts of South Punjab for improving their ability to find work or progress in their current employment. As an implementing partner, TMF through Tameer-e-Millat Institute of Technology (TMIT) trained 69 trainees in three trade groups i.e. Electrician, Repair & maintenance of Electrical Home Appliances and Quantity Surveyor. TMF remained among the highest achievers by successfully training 92% of the enrolled trainees. Now the second batch has started its training. TMF is determined to provide quality training to its trainees as per industry requirements and will also collaborate with various employers for job placement as well as assistance in establishing their own businesses.

Five Tameerian Girls Students won Dr. Abdul Salam Science ScholarshipsTMF believes in true and honest struggle and has been appreciating these efforts rendered by brilliant Tameerians for the last two and half decades. TMF searches for possible donors to sponsor these shining stars. Maria Helena Foundation announced Dr. Abdul Salam Science Scholarships for such hardworking students and five of the Tameerian achieved sponsorship for their studies. It is worth mentioning that all the achievers are studying in 9th grade currently and are female students. One of these students is from Pir Muhammad Tamee-e-Millat Model high School Bhooman Batth and 4 from Imam Din Tameer-e-Millat High School, Mian Channu.


I would like to thank our valued clients, every member of Shifa Family, our business associates and shareholders for being a part of our success. May Allah (SWT) help us in accomplishing our mission further.

On behalf of the Board

Dr. habib-ur-rahmanChairman

ISLAMABADSeptember 20, 2014

ACKNOWLEDGEMENT


Notice of the 28th Annual General MeetingNotice is hereby given that the 28th Annual General Meeting of the shareholders of Shifa International Hospitals Limited will be held at the registered office of the Company at Sector H-8/4, Islamabad on Saturday, October 25, 2014 at 1100 hours to transact the following business:

ORDINARY BUSINESS:

1. To confirm the minutes of the last Annual General Meeting of the Company held on October 26, 2013.

2. To receive, consider and adopt the audited accounts of the Company for the year ended June 30, 2014 together with the directors’ and auditors’ report thereon.

3. To approve the payment of cash dividend @ 30 % (Rs. 3.00 per share) for the year ended June 30, 2014 as recommended by the directors.

4. To appoint auditors for the year ending June 30, 2015 and to fix their remuneration.

SPECIAL BUSINESS:

5. To consider, and if thought fit, to pass, with or without modification the following resolutions as Special Resolution:

“Resolved that a consulting company under the name and style of “Shifa Consulting Services (Pvt.) Limited” be incorporated as a subsidiary company.

Further Resolved that the Company is hereby authorized to make investment of upto Rs. 18 million in the capital of the said consulting company over a period of two years from the date of incorporation.

Further Resolved that Chief Executive Officer and Company Secretary be and are hereby authorized singly or jointly, to give effect to this resolution.”

6. To transact any other business with the permission of the Chair.

Statement of material facts u/s 160(1)(b) of Companies Ordinance, 1984 is annexed with this notice

By Order of the Board

ISLAMABAD MUHAMMAD NAEEM September 20, 2014 Company Secretary


NOtES:

i) The share transfer books of the Company will remain closed from October 18, 2014 to October 25, 2014 (both days inclusive). No transfer will be accepted for registration during this period. Transfers received in order at the share registrar’s office of the Company i.e. M/s Corplink (Pvt.) Limited situated at Wings Arcade, 1-K, Commercial, Model Town, Lahore at the close of business on Friday, October 17, 2014 will be considered in time for the purpose of payment of dividend to the transferees.

ii) A member entitled to attend and vote at this meeting is entitled to appoint another member as his/her proxy to attend and vote for him/her. Proxies in order to be effective must be received at the registered office of the Company at Sector H-8/4, Islamabad, not less than 48 hours before the time of holding the meeting. Proxy form is attached.

iii) Members are requested to notify any change in their registered addresses immediately.

iv) CDC shareholders entitled to attend and vote at this meeting must bring their original CNIC or Passport along with the participant’s ID numbers and account numbers to prove their identity. In case of proxy, the attested copy of CNIC or passport of the CDC shareholder must be enclosed. Representatives of corporate members should bring the usual documents required for such purpose.

v) SUBMISSION OF COPIES OF CNIC

Pursuant to the directive of the Securities & Exchange Commission of Pakistan, CNIC numbers of shareholders are mandatorily required to be mentioned on dividend warrants. Shareholders are, therefore, requested to submit a copy of their CNIC (if not already provided) to the Company’s Share Registrar, M/s Corplink (Pvt.) Limited.

vi) PAYMENt OF CASH DIVIDEND ELECtRONICALLY (OPtIONAL)

The Company wishes to inform its shareholders that under the law they are also entitled to receive their cash dividend directly in their bank accounts instead of receiving it through dividend warrants. Shareholders wishing to exercise this option may submit their application to the Company’s Share Registrar, giving particulars relating to their name, folio number, bank account number, title of account and complete mailing address of the bank. CDC account holders should submit their request directly to their broker (participant)/ CDC.

vii) DEDUCtION OF INCOME tAX FROM DIVIDEND

Pursuant to the provision of Finance Act, 2014 the rates of income tax deduction from dividend payment under section 150 of the Income Tax Ordinance, 2001 have been revised as under:

• For filers - 10%

• For non-filers - 15%

All shareholders are requested to make sure that copy of their valid CNIC/NTN should be available with the Shares Registrar. Please also note that in case of non-availability of CNIC/NTN, the Share Registrar could not check their status from the Active Tax Payer List available on FBR Web Site and would be constrained to apply tax rate prescribed for non-filers.


The Board of Directors have approved establishment of a subsidiary consulting company under the name and style of Shifa Consulting Services (Pvt.) Limited which will focus on consulting services pertaining to the following services:-

a. Healthcare facilities

b. Medical staff

c. Human resource

d. Hospital quality

The consulting company will target all hospitals in the country for tertiary care hospitals to small clinics and nursing care homes.

As per requirements of the Companies (Investment in Associated Companies and Associated Undertaking) Regulations, 2012, following information is provided to the shareholders:

Statement of Material Facts U/s 160(1)(b) of Companies Ordinance, 1984

Sr. # Description Information Required

(i) Name of the associated company or associated undertaking along with criteria based on which the associated relationship is established.

Shifa Consulting Services (Pvt) Ltd (Proposed) will be a subsidiary company.

(ii) Purpose, benefits and period of investment. To contribute in equity - to be long term investment.

(iv) Maximum price at which securities will be acquired. At par value of Rs. 10/- per share.

(v) Maximum number of securities to be acquired. 1.8 million shares in the first two years.

(vi) Number of securities and percentage thereof held before and after the proposed investment.

None at present. Afterward – 1.8 million shares (60%).

(vii) In case of investment in listed securities, average of the preceding twelve weekly average price of the security intended to be acquired.

Not applicable

(viii) In case of investment in unlisted securities, fair market value of such securities determined in terms of regulation 6(1).

Par Value of Rs. 10/- per share.

(ix) Break-up value of securities intended to be acquired on the basis of the latest audited financial statement.

Not applicable

(x) Earnings per share of the associated company or associated undertaking for the last three years.

Not applicable

(xi) Sources of fund from which securities will be acquired. Internal generation of resources.

(xii) Where the securities are intended to be acquired using borrowed funds:1. Justification for investment through borrowing; and2. Details of guarantees and assets pledged for obtaining

such funds.

Not applicable

(xiii) Salient features of the agreement(s), if any, entered into with its associated company or associated undertaking with regards to the proposed investment.

Not applicable


The directors in their meeting held on September 20, 2014 signed the undertaking as required under sub regulation 3 of Regulation 3 of Companies (Investment in Associated Companies or Associated Undertakings) Regulation, 2012 and the duly singed recommendations of the due diligence report shall be available for inspection in the 28th

Annual General Meeting of the Company scheduled to be held on October 25, 2014.

ISLAMABAD MUHAMMAD NAEEM September 20, 2014 Company Secretary

Sr. # Description Information Required

(xiii) Salient features of the agreement(s), if any, entered into with its associated company or associated undertaking with regards to the proposed investment.

Not applicable

(xiv) Direct or indirect interest of directors, sponsors, majority shareholders and their relatives, If any, in the associated company or associated undertaking or the transaction under consideration.

Following will have interest:-

i. Holding company will have equity interest and nomination of directors;

ii. Mr. Sohail A. Siddiqi will have equity interest upto 40% of the total equity as well as to be the director and CEO of the proposed company.

(xv) Any other important details necessary for the members to understand the transaction; and

None

(xvi) In case of investment in securities of a project of an associated company or associated undertaking that has not commenced operations, in addition to the information referred to above, the following further information, is required, namely;-

I. Description of the project and its history since conceptualization;

II. Starting and expected dated of completion of work;III. Time by which such project shall become commercially

operational; and IV. Expected time by which the project shall start paying

return on investment.

Not applicable


OPERATING RESULTS

2014 2013 ---------- (Rupees in ‘000’) ----------

Net revenue 6,393,105 5,315,589

Other income 56,127 40,540

Operating costs (5,622,197) (4,625,532)

Finance cost (190,462) (190,279)

Profit before taxation 636,573 540,318

Provision for taxation (172,017) (152,166)

Profit after taxation 464,556 388,152

Earnings per share-basic and diluted - (Rupees) 9.20 7.68

1- During the year under review your Company earned revenue to the tune of Rs. 6,393.1 million versus Rs. 5,315.6 million in the last year. However, operating cost with the more utilization of services entailed the increase in costs pertaining to salaries, wages & benefits, utilities, supplies, medicines, repair & maintenance etc., resultantly operating cost increased to Rs. 5,622.2 million against Rs. 4,625.5 million in the last corresponding year. Profit before taxation worked out to be Rs. 636.6 million as against Rs. 540.3 million in the last year. However, your Company posted net profit after taxation of Rs. 464.6 million as compared to Rs. 388.2 million in the last corresponding year.

2- During the year under review earnings per share increased from Rs. 7.68 to Rs. 9.20.

3- Your directors are pleased to declare cash dividend of Rs. 3.00 per share for the year ended June 30, 2014.

4- The financial statements, prepared by the management of Shifa International Hospitals Limited, present fairly its state of affairs, the results of its operations, cash flows and changes in equity.

5- Proper books of accounts of Shifa International Hospitals Limited have been maintained as required by the Companies Ordinance, 1984.

6- Appropriate accounting policies have been consistently applied (except for a change disclosed in note 3.12 of the notes to the financial statements) in preparation of the financial statements and accounting estimates are based on reasonable and prudent judgment.

7- International Accounting Standards, as applicable in Pakistan, have been followed in preparation of financial statements.

8- The system of internal control is sound in design and has been effectively implemented and monitored.

9- There has been no material departure from the best practices of corporate governance, as detailed in the listing regulations.

10- During the year under review, Dr. Habib-Ur-Rahman, Dr. Mohammad Salim Khan and Shah Naveed Saeed, Directors, have successfully completed the directors’ training program that meets the criteria specified by the SECP.

11- There are no significant doubts upon Company’s ability to continue as a going concern.

12- Summary of key operating and financial data of last six years has been given on page No 152.

13- Note 9.4 of the notes to the financial statements reflect the value of investments of gratuity fund account.

14- No director, CEO, CFO, Company Secretary, Executives and their spouses and minor children carried out the trade in the shares of the Company during the year under review. For the purpose of Code xvi (l) and Code xxiii

Directors’ Report


of the Code of Corporate Governance all the General Managers and above shall be considered executives of the Company besides CEO, COO, CFO, Head of Internal Audit & Company Secretary.

15- The Company has put in place a mechanism for the annual evaluation of the performance of its board.

16- During the year under review, five meetings of the Board of Directors were held on September 11, 2013, October 24, 2013, February 22, 2014, April 28, 2014 and June 23, 2014.

Number of meetings attended by each director is stated below:

Name of Director Number of meetings held

during the yearNumber of

meetings attended

Dr. Habib-Ur-Rahman 5 5Dr. Manzoor H. Qazi 5 5Mr. Muhammad Zahid 5 2Dr. Abdul Razaq 5 -Dr. Saeed A. Bajwa 5 -Mr. Shafquat Ali Chaudhary 5 1Dr. Mohammad Salim Khan 5 4Shah Naveed Saeed 5 4Mr. Qasim Farooq Ahmad 5 1Dr. Samea Kauser Ahmad 5 5

Leave of absence was granted to the directors who could not attend the Board Meeting(s).

17- During the year under review, seven meetings of the Audit Committee were held. Shah Naveed Saeed, Dr. Habib-Ur-Rahman, Mr. Muhammad Zahid & Dr. Mohammad Salim Khan attended six, seven, one and seven meeting(s) respectively. Dr. Samea Kauser Ahmad was inducted in the Audit Committee on April 28, 2014 whereafter till June 30, 2014 no meeting of the Audit Committee was scheduled.

18- The pattern of shareholding and additional information regarding pattern of shareholding is given on page 199.

19- The present auditors M/s Anjum Asim Shahid Rahman, Chartered Accountants, retire at the conclusion of the 28th Annual General Meeting and being eligible have offered themselves for re-appointment. On the suggestion of the Audit Committee, the Board of Directors of the Company recommended the re-appointment of M/s Anjum Asim Shahid Rahman, Chartered Accountants, as the auditors of the Company for the year ending June 30, 2015.

20- All the related party transactions have been approved by the Board of Directors. The Company maintains a full record of all such transactions, along with the terms and conditions.

21- Shifa International Hospitals Limited is on the web and can be accessed at www.shifa.com.pk.

22- During the year under review, the Company’s contribution to the national exchequer is as under:

Direct taxes Rs. 146.0 millionIndirect taxes Rs. 119.2 millionTax deducted and deposited from suppliers, employees etc. Rs. 310.2 million

Total Rs. 575.4 million


23- During the year under review, the Company donated Rs. 10 million to Shifa Foundation and Rs. 18 million to Shifa Tameer-e-Millat University. Shifa Foundation is not for profit organization, providing medical treatment facilities to indigent and poor patients. The Company considers Shifa Foundation as its social arm for fulfilling corporate social responsibilities with respect to people and society. Whereas to ensure the credibility of the upcoming doctors and healthcare advocates, the three concerns namely Shifa International Hospitals Limited, Shifa Foundation and Tameer-e-Millat Foundation combined to sponsor their own Shifa Tameer-e-Millat University which would serve as an educational platform for the generations to come.

24- Company took following steps / initiatives to conserve electricity:

• Variable Frequency Drives have been installed in all new constructions involving high HP rating motors.

• Energy efficient lights were installed in new / renovated areas and replaced in old areas as well.

• All HVAC filters were cleaned at regular intervals to avoid clogging and thereby reducing electric consumption.

• Power factor of generators and IESCO was maintained at 1.0 and 0.9 respectively so as to avoid energy losses.

• Split units were set at 26 ̊C to conserve electricity consumption.

• Lights installed in various areas were re-arranged to reduce number of extra lights.

• Laundry boiler and domestic water heaters were chemically cleaned for scale removal and to ensure better heat exchange / improved performance.

As a result of these steps, Company was able to save 5092.625 KW (122,223 KWH) of electricity during peak season of June & July 2014 alone.

25- Company is equally mindful towards environment protection and its environmental protection measures meet the standards set by regulatory bodies in connection with hospital waste management and radiation.

26- In addition to our endeavor to install state of the art addressable fire alarm system the Company has been undertaking different activities to ensure occupational safety and health which include but are not limited to provision of appropriate safety equipment to workers during construction work, installation of safety & warning signs, installation of hand rails at various location of the hospital, vaccination of employees, annual medical checkup of radiation workers etc.

27- For the awareness of general public Company celebrated following days and also offered free seminars/screenings to the general public during the year under review:

• World Hepatitis Day (July 31, 2013) - Free screening for Hepatitis B & C

• World Heart Day (September 28, 2013) - Free seminar

• Global Hand Washing Day (October 12, 2013)

• World Stroke Day (October 29, 2013) - Seminar to highlight measures to prevent stroke.

• World Diabetic Day (November 13, 2013) - Free screening

• World Kidney Day (March 13, 2014)

• World No Tobacco Day (June 1, 2014)

28- Shifa International Hospitals Limited has evolved to become one of the major providers of healthcare in Pakistan. We have extended our outreach in Faisalabad; with our state of the art Faisalabad Hospital providing the standardized quality services. We have lab pick up points and pharmacy outlets in various locations of Pakistan including Islamabad, Quetta, Mardan, Peshawar, Jhelum, Gujrat, Faisalabad, Gujranwala and Lahore. Besides for the promotion of medical tourism we have established representative offices in Dubai and Afghanistan.


29- During the year under review the Company has acquired on rent a building at G-10/4 for the establishment of a hospital which would offer primary care services and limited diagnostic and IPD services.

30- As tertiary care facility; critical care plays a vital role, our focus has been to sustain and expand a facility with improved and enhanced infection control measures and patient safety standards. In the wake of our said focus we have added 19 critical area beds in different specialities. The critical care facility has been expanded with the addition of Peads ICU (4 Beds), Peads Step Down (5 Beds) and Neuro Step Down (10 Beds). At Shifa we are now functioning with 121 Critical Area Beds. This includes 11 beds in SICU, 13 beds in SSD, 10 Beds in MICU, 10 beds in MSD, 32 Beds in NICU, 17 Beds in Cardiac Cath, 9 Beds in PICU, 5 beds in NSD, 4 Beds in Stroke Unit, 6 beds in E-4 Liver Transplant Unit and 4 beds in F-4 BMT.

31- F- Block extension consists of 2 basements comprising of Auditoriums, Conference Halls & Admin Block. As part of the same extension, existing F-1 radiology and F-2 OR will also be extended. Moreover around 100 Inpatient beds will be added at F-3 / F-4 area being part of F block extension.

32- As healthcare industry we are constantly taking effective measures to mitigate the risks and improve our quality control targets. For this purpose, we expanded our Central Sterile Services Department (CSSD) with cutting edge technology. The CSSD has been implemented with international standards which will help further in safe practices.

33- Cath Lab has also been expanded and shifted to F-3 floor. We have now three cath labs. Third floor of F-Block has been evolved as a composite cardiac care unit of Cath Lab & Cardiac Cath Unit (17 Beds).

34- New and improved state of the art lab facility with its segments Hematology, Biochemistry, Histopathology and Microbiology has been relocated at D-4. Previous lab was at 9,000 sq/ft at A-0 while new lab has an area of 17,700 sq/ft.

35- To cater the needs of our valued patients following planning / restructuring / expansion activities are being undertaken:

• It has been planned to extend Inpatient area by adding 33 surgical beds at A-2 / B-2.

• Propositions have been designed for the construction of 5th & 6th floors. Floor 5 will be IPD area & floor 6 will have meeting halls, offices, consultants' offices & NES.

• Our Outpatient facilities are also being aligned and revamped in terms of space, technology and ambiance. Following clinics have been upgraded:

a) Ophthalmology Clinic (Relocated from 3760 sq/ft to 5600 sq/ft)

b) Neurology Clinic (Relocated from 2671 sq/ft to 3790 sq/ft)

c) Peads Clinic (Expanded from 3000 sq/ft to 8000 sq/ft)

d) Cardiology Clinic (5 echo rooms have been shifted to this area, Expanded to 9,427 from 6,827 sq/ft )

We feel obliged to put on record appreciation for our staff, consultants who are full of determination and resolve to maintain our pre-eminence in the delivery of healthcare services with distinguishable quality and for the vendors, bankers, regulators and shareholders for their unremitting patronage

On behalf of the Board

ISLAMABAD DR. MANZOOR H. QAZISeptember 20, 2014 Chief Executive Officer


Statement of Value Addition

Restated

2014 2013

Rs. in '000' % Rs. in '000' %

Value added

Total Revenue inclusive of other income 6,449,232 5,356,129

Supplies and other operating costs 3,516,037 2,853,011

Total value added 2,933,195 2,503,118

Value allocated To employees

Salaries, wages and other benefits 1,966,090 67 1,707,584 68

To Government

Income tax, sales tax and federal excise duty etc. 291,251 10 220,259 9

To society

Donation 28,000 1 1,872 0.1

To providers of capital

Dividend to shareholders 151,541 5 75,771 3.0

Finance cost of borrowed funds 183,297 6 185,251 7.4

334,838 11 261,022 10.4

Retained in the Company 313,016 11 312,381 12.5

Total value allocated 2,933,195 100 2,503,118 100


Salaries, wages and other benefits

Income tax and sales tax

Donation

Dividend to shareholders

Finance cost of borrowed funds

Retained in the Company

67%10%

1%

5%

6%

11%

2014

68%9%

0.1%

3%

7.4%

12.5%

2013


Six Years at a Glance2014 2013 2012 2011 2010 2009

------------ Restated -------------PERFORMANCE

Operating profit margin % 12.94 13.74 11.72 14.16 16.10 16.23Net profit margin % 7.27 7.30 5.86 7.58 7.39 6.55Return on equity % 26.72 27.10 21.99 24.91 20.14 14.92Return on assets % 14.12 13.90 11.20 13.99 12.65 11.14Asset turnover Times 1.09 1.01 0.96 0.99 0.79 0.69

CAPITAL MARKET/CAPITAL STRUCTURE ANALYSIS

Market value per share (year end) Rs. 144.58 44.86 30.94 33.87 26.99 19.25 Breakup value per share Rs. 37.40 31.42 25.28 21.68 19.42 17.73 Market price to breakup value Times 3.87 1.43 1.22 1.56 1.39 1.09 Earning per share Rs. 9.20 7.68 5.16 5.12 3.74 2.53 Price earning ratio Times 15.72 5.84 5.99 6.62 7.21 7.62 Dividend per share (total) Rs. 3 1.50 1.50 3.00 2.20 1.00 Dividend yield/effective dividend rate % 2.07 3.34 4.85 8.86 8.15 5.19Interest cover Times 4.34 3.84 3.46 4.18 4.52 2.90 Debt : Equity Ratio 44:56 52:48 54:46 36:64 43:57 42:58

LIQUIDITY

Current ratio 0.93 1.66 1.04 0.70 0.78 1.01 Quick ratio 0.69 1.29 0.76 0.53 0.61 0.80

HISTORICAL TRENDS

FINANCIAL POSITION ------------------------------------------------ Rs in ‘000’ ------------------------------------------------

Authorized capital 545,379 545,379 545,379 545,379 545,379 545,379

Paid up capital 505,138 505,138 505,138 505,138 505,138 505,138 Capital reserve - share premium 40,000 40,000 40,000 40,000 40,000 40,000 Unappropriated profit 1,344,260 1,042,248 731,802 549,929 435,691 350,663 Share holder’s equity 1,889,398 1,587,386 1,276,940 1,095,067 980,829 895,801Surplus on revaluation of PP&E 760,176 583,373 590,552 597,730 604,909 612,089 Non current Liabilities 1,608,133 2,118,224 1,663,787 732,354 832,994 794,603 Current Liabilities 1,597,824 968,684 1,128,439 1,027,811 833,642 536,835 total 5,855,531 5,257,667 4,659,718 3,452,962 3,252,374 2,839,328

Property, plant and equipment 4,036,797 3,616,518 3,469,388 2,720,993 2,594,352 2,283,028 Long term deposits 40,651 31,041 22,066 10,296 8,820 12,170 Current assets 1,480,609 1,610,108 1,168,264 721,673 649,202 544,130 Non current assets held for sale 297,474 - - - - - total 5,855,531 5,257,667 4,659,718 3,452,962 3,252,374 2,839,328

OPERATING RESULTS ------------------------------------------------ Rs in ‘000’ ------------------------------------------------

Operating revenue 6,393,105 5,315,589 4,451,781 3,412,688 2,555,759 1,948,835 Operating costs (5,622,197) (4,625,532) (3,944,838) (2,942,407) (2,155,203) (1,652,684)Other operating income 56,127 40,540 14,812 12,928 10,971 20,103 Operating profit 827,035 730,597 521,755 483,209 411,527 316,254 Finance cost (190,462) (190,279) (150,800) (115,680) (91,041) (109,119)Tax (172,017) (152,166) (110,161) (108,929) (131,506) (79,478)Net profit 464,556 388,152 260,794 258,600 188,980 127,657

CASH FLOW SUMMARY ------------------------------------------------ Rs in ‘000’ ------------------------------------------------

Net cash flows from operating activities 965,561 670,655 504,482 547,908 415,959 274,735 Net cash flows from investing activities (832,500) (404,875) (987,042) (307,126) (482,221) (201,684)Net cash flows from financing activities (385,228) 190,915 784,743 (277,029) (15,571) (124,734)Changes in cash & cash equivalents (C&CE) (252,167) 456,695 302,183 (36,247) (81,833) (51,683)Effect of exchange rate changes on C&CE (767) 399 53 (17) 89 291 Cash & cash equivalents - year end 510,612 763,546 306,452 4,216 40,480 122,224


0

30

60

90

120

150

2009 2010 2011 2012

Market Value Per Share

2013 2014

19 27

34 31

45

145

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

2,283,028 2,594,352 2,720,993 3,469,388 3,616,518 4,036,797

2009 2010 2011 2012

Property, plant and equipment

(Rupees in ‘000’)

(Rupees) (Rupees)

(Rupees) (Rupees in ‘000’)

(Rupees in ‘000’)

2013 2014

15

20

25

30

35

40

2009 2010 2011 2012

Breakup Value Per Share

2013 2014

18 19

22

25

31

37

2

4

6

8

10

2009 2010 2011 2012

Earnings Per Share

2013 2014

2.5

3.7

5.1 5.2

7.7

9.2

500,000

1,000,000

1,500,000

2,000,000

895,801 980,829 1,095,067 1,276,940 1,587,386 1,889,398

2009 2010 2011 2012

Shares holders’ equity

2013 2014

500,000

1,000,000

1,500,000

2,000,000

2009 2010 2011 2012

Current assets & current liabilities

Current assets

Current liabilities

2013 2014


Horizontal Analysis

BALANCE SHEET 2014 2013 2012 2011 2010 2009

Rs in ‘000’ 14 Vs. 13 %

Rs in ‘000’ 13 Vs. 12 %

Rs in ‘000’ 12 Vs. 11 %

Rs in ‘000’ 11 Vs. 10 %

Rs in ‘000’ 10 Vs. 09 %

Rs in ‘000’ 09 Vs. 08 %

----------- Restated ----------- ----------- Restated -----------EQUITY AND LIABILITIES

Paid up capital 505,138 - 505,138 - 505,138 - 505,138 - 505,138 - 505,138 -

Capital reserve - share premium 40,000 - 40,000 - 40,000 - 40,000 - 40,000 - 40,000 -

Unappropriated profit 1,344,260 29 1,042,248 42 731,802 33 549,929 26 435,691 24 350,663 30

Shareholder’s equity 1,889,398 19 1,587,386 24 1,276,940 17 1,095,067 12 980,829 9 895,801 10

Surplus on revaluation of PP&E 760,176 30 583,373 (1) 590,552 (1) 597,730 (1) 604,909 (1) 612,089 174

Non current Liabilities 1,608,133 (24) 2,118,224 27 1,663,787 127 732,354 (12) 832,994 5 794,603 (8)

Current Liabilities 1,597,824 65 968,684 (14) 1,128,439 10 1,027,811 23 833,642 55 536,835 26

Total 5,855,531 11 5,257,667 13 4,659,718 35 3,452,962 6 3,252,374 15 2,839,328 22

ASSETS

Property, plant and equipment 4,036,797 12 3,616,518 4 3,469,388 28 2,720,993 5 2,594,352 14 2,283,028 27

Long term deposits 40,651 31 31,041 41 22,066 114 10,296 17 8,820 (28) 12,170 7

Current assets 1,480,609 (8) 1,610,108 38 1,168,264 62 721,673 11 649,202 19 544,130 6

Non current assets held for sale 297,474 100 - - - - - - - - - -

Total 5,855,531 11 5,257,667 13 4,659,718 35 3,452,962 6 3,252,374 15 2,839,328 22

PROFIT & LOSS ACCOUNT

Operating revenue 6,393,105 * 20 5,315,589 19 4,451,781 30 3,412,688 34 2,555,759 31 1,948,835 18

Operating costs (5,622,197) ** 22 (4,625,532) 17 (3,944,838) 34 (2,942,407) 37 (2,155,203) 30 (1,652,684) 23

Other operating income 56,127 38 40,540 174 14,812 15 12,928 18 10,971 (45) 20,103 64

Operating profit 827,035 13 730,597 40 521,755 8 483,209 17 411,527 30 316,254 (1)

Finance cost (190,462) 0.1 (190,279) 26 (150,800) 30 (115,680) 27 (91,041) (17) (109,119) 25

Tax (172,017) 13.04 (152,166) 38 (110,161) 1 (108,929) (17) (131,506) 65 (79,478) 2

Net profit 464,556 20 388,152 49 260,794 1 258,600 37 188,980 48 127,657 (17)

* Revenue earned during the year under review increased from Rs. 5,315.6 million to Rs. 6,393 million as compared to last year due to increased number of patient visits, procedures, tests, surgeries and increase in revenue of external pharmacies and lab pick up points.

** With rising inflation, increase in US$ exchange rate vis-a-vis Pak Rupee, higher utility costs and increase in volume as well as increase in operating costs of the external pharmacies and lab pick up points, the operating cost has been increased to Rs. 5,622 million from Rs. 4,626 million.


Horizontal Analysis

BALANCE SHEET 2014 2013 2012 2011 2010 2009

Rs in ‘000’ 14 Vs. 13 %

Rs in ‘000’ 13 Vs. 12 %

Rs in ‘000’ 12 Vs. 11 %

Rs in ‘000’ 11 Vs. 10 %

Rs in ‘000’ 10 Vs. 09 %

Rs in ‘000’ 09 Vs. 08 %

----------- Restated ----------- ----------- Restated -----------EQUITY AND LIABILITIES

Paid up capital 505,138 - 505,138 - 505,138 - 505,138 - 505,138 - 505,138 -

Capital reserve - share premium 40,000 - 40,000 - 40,000 - 40,000 - 40,000 - 40,000 -



Surplus on revaluation of PP&E 760,176 30 583,373 (1) 590,552 (1) 597,730 (1) 604,909 (1) 612,089 174

Non current Liabilities 1,608,133 (24) 2,118,224 27 1,663,787 127 732,354 (12) 832,994 5 794,603 (8)

Current Liabilities 1,597,824 65 968,684 (14) 1,128,439 10 1,027,811 23 833,642 55 536,835 26

Total 5,855,531 11 5,257,667 13 4,659,718 35 3,452,962 6 3,252,374 15 2,839,328 22

ASSETS

Property, plant and equipment 4,036,797 12 3,616,518 4 3,469,388 28 2,720,993 5 2,594,352 14 2,283,028 27

Long term deposits 40,651 31 31,041 41 22,066 114 10,296 17 8,820 (28) 12,170 7

Current assets 1,480,609 (8) 1,610,108 38 1,168,264 62 721,673 11 649,202 19 544,130 6


Total 5,855,531 11 5,257,667 13 4,659,718 35 3,452,962 6 3,252,374 15 2,839,328 22

PROFIT & LOSS ACCOUNT

Operating revenue 6,393,105 * 20 5,315,589 19 4,451,781 30 3,412,688 34 2,555,759 31 1,948,835 18

Operating costs (5,622,197) ** 22 (4,625,532) 17 (3,944,838) 34 (2,942,407) 37 (2,155,203) 30 (1,652,684) 23

Other operating income 56,127 38 40,540 174 14,812 15 12,928 18 10,971 (45) 20,103 64

Operating profit 827,035 13 730,597 40 521,755 8 483,209 17 411,527 30 316,254 (1)

Finance cost (190,462) 0.1 (190,279) 26 (150,800) 30 (115,680) 27 (91,041) (17) (109,119) 25

Tax (172,017) 13.04 (152,166) 38 (110,161) 1 (108,929) (17) (131,506) 65 (79,478) 2

Net profit 464,556 20 388,152 49 260,794 1 258,600 37 188,980 48 127,657 (17)

* Revenue earned during the year under review increased from Rs. 5,315.6 million to Rs. 6,393 million as compared to last year due to increased number of patient visits, procedures, tests, surgeries and increase in revenue of external pharmacies and lab pick up points.

** With rising inflation, increase in US$ exchange rate vis-a-vis Pak Rupee, higher utility costs and increase in volume as well as increase in operating costs of the external pharmacies and lab pick up points, the operating cost has been increased to Rs. 5,622 million from Rs. 4,626 million.


Vertical Analysis

BALANCE SHEET2014 2013 2012 2011 2010 2009

Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ %----------- Restated ----------- ----------- Restated -----------

EQUITY AND LIABILITIES

Paid up capital 505,138 9 505,138 10 505,138 11 505,138 15 505,138 16 505,138 18

Capital reserve - share premium 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1



Surplus on revaluation of PP&E 760,176 13 583,373 11 590,552 12 597,730 17 604,909 19 612,089 22

Non current Liabilities 1,608,133 27 2,118,224 40 1,663,787 36 732,354 21 832,994 26 794,603 28

Current Liabilities 1,597,824 27 968,684 18 1,128,439 24 1,027,811 30 833,642 25 536,835 19

Total 5,855,531 100 5,257,667 100 4,659,718 100 3,452,962 100 3,252,374 100 2,839,328 100

ASSETS

Property, plant and equipment 4,036,797 69 3,616,518 69 3,469,388 74.5 2,720,993 79 2,594,352 79.7 2,283,028 80.4

Long term deposits 40,651 1 31,041 0.6 22,066 0.5 10,296 0.3 8,820 0.3 12,170 0.4

Current assets 1,480,609 25 1,610,108 30.4 1,168,264 25 721,673 20.7 649,202 20 544,130 19.2


5,855,531 100 5,257,667 100 4,659,718 100 3,452,962 100 3,252,374 100 2,839,328 100

PROFIT & LOSS

Operating revenue 6,393,105 100 5,315,589 100 4,451,781 100 3,412,688 100 2,555,759 100 1,948,835 100

Operating costs (5,622,197) 88 (4,625,532) 87 (3,944,838) 88.6 (2,942,407) 86.2 (2,155,203) 84.3 (1,652,684) 85

Other operating income 56,127 1 40,540 0.7 14,812 0.3 12,928 0.4 10,971 0.4 20,103 1

Operating profit 827,035 13 730,597 13.7 521,755 11.7 483,209 14.2 411,527 16.1 316,254 16

Finance cost (190,462) 3 (190,279) 3.6 (150,800) 3.4 (115,680) 3.4 (91,041) 3.6 (109,119) 5.5

Tax (172,017) 2.7 (152,166) 2.8 (110,161) 2.5 (108,929) 3.2 (131,506) 5.1 (79,478) 4

Net profit 464,556 7.3 388,152 7.3 260,794 5.8 258,600 7.6 188,980 7.4 127,657 6.5


Vertical Analysis

BALANCE SHEET2014 2013 2012 2011 2010 2009

Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ % Rs in ‘000’ %----------- Restated ----------- ----------- Restated -----------

EQUITY AND LIABILITIES

Paid up capital 505,138 9 505,138 10 505,138 11 505,138 15 505,138 16 505,138 18

Capital reserve - share premium 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1



Surplus on revaluation of PP&E 760,176 13 583,373 11 590,552 12 597,730 17 604,909 19 612,089 22

Non current Liabilities 1,608,133 27 2,118,224 40 1,663,787 36 732,354 21 832,994 26 794,603 28

Current Liabilities 1,597,824 27 968,684 18 1,128,439 24 1,027,811 30 833,642 25 536,835 19

Total 5,855,531 100 5,257,667 100 4,659,718 100 3,452,962 100 3,252,374 100 2,839,328 100

ASSETS

Property, plant and equipment 4,036,797 69 3,616,518 69 3,469,388 74.5 2,720,993 79 2,594,352 79.7 2,283,028 80.4

Long term deposits 40,651 1 31,041 0.6 22,066 0.5 10,296 0.3 8,820 0.3 12,170 0.4

Current assets 1,480,609 25 1,610,108 30.4 1,168,264 25 721,673 20.7 649,202 20 544,130 19.2


5,855,531 100 5,257,667 100 4,659,718 100 3,452,962 100 3,252,374 100 2,839,328 100

PROFIT & LOSS

Operating revenue 6,393,105 100 5,315,589 100 4,451,781 100 3,412,688 100 2,555,759 100 1,948,835 100

Operating costs (5,622,197) 88 (4,625,532) 87 (3,944,838) 88.6 (2,942,407) 86.2 (2,155,203) 84.3 (1,652,684) 85

Other operating income 56,127 1 40,540 0.7 14,812 0.3 12,928 0.4 10,971 0.4 20,103 1

Operating profit 827,035 13 730,597 13.7 521,755 11.7 483,209 14.2 411,527 16.1 316,254 16

Finance cost (190,462) 3 (190,279) 3.6 (150,800) 3.4 (115,680) 3.4 (91,041) 3.6 (109,119) 5.5

Tax (172,017) 2.7 (152,166) 2.8 (110,161) 2.5 (108,929) 3.2 (131,506) 5.1 (79,478) 4

Net profit 464,556 7.3 388,152 7.3 260,794 5.8 258,600 7.6 188,980 7.4 127,657 6.5


This statement is being presented to comply with the Code of Corporate Governance contained in Listing Regulation No. 35 of Chapter XI of the Listing Regulations of Karachi, Lahore and Islamabad Stock Exchanges for the purpose of establishing a framework of good governance, whereby a listed company is managed in compliance with the best practices of corporate governance.

The company has applied the principles contained in the CCG in the following manner:

1. The Company encourages representation of Independent non-executive directors and directors representing minority interests on its board of directors. At present the board includes:

The independent director meets the criteria of independence under clause i (b) of the CCG.

2. The directors have confirmed that none of them is serving as a director on more than seven listed companies, including this Company.

3. All the resident directors of the Company are registered as taxpayers and none of them has defaulted in payment of any loan to a banking company, a DFI or an NBFI or, being a member of a stock exchange, has been declared as a defaulter by that stock exchange.

4. No causal vacancy occurred in the Board during the year ended June 30, 2014.

5. The Company has prepared a “code of conduct” and has ensured that appropriate steps have been taken to disseminate it throughout the Company along with its supporting policies and procedures.

6. The Board has developed a vision/mission

statement, overall corporate strategy and significant policies of the Company. A complete record of particulars of significant policies along with the dates on which they were approved or amended has been maintained.

7. All the powers of the Board have been duly exercised and decisions on material transactions, including appointment and determination of remuneration and terms and conditions of employment of the CEO, other executive and non-executive directors, have been taken by the Board.

8. The meetings of the Board were presided over by the Chairman and the board met at least once in every quarter. Written notices of the board meetings, along with agenda and working papers, were circulated at least seven days before the meetings. The minutes of the meetings were appropriately recorded and circulated.

Category Names

Independent Director Shah Naveed Saeed

Executive Directors Dr. Manzoor H. Qazi

Dr. Mohammad Salim Khan

Non-Executive Directors Dr. Habib-Ur-Rahman

Mr. Muhammad Zahid

Dr. Abdul Razaq

Dr. Saeed A. Bajwa

Mr. Shafquat Ali Chaudhary

Mr. Qasim Farooq Ahmad

Dr. Samea Kauser Ahmad

Statement of Compliance with the Code of Corporate GovernanceShifa International Hospitals Limited - Year Ended June 30, 2014


9. There were no new appointments of CFO, Company Secretary or Head of Internal Audit during the year.

10. During the year under review, three directors of the Company namely Dr. Habib-Ur-Rahman, Dr. Mohammad Salim Khan and Shah Naveed Saeed acquired the certification under the directors training program that meets the criteria specified by SECP.

11. The directors’ report for this year has been prepared in compliance with the requirements of the CCG and fully describes the salient matters required to be disclosed.

12. The financial statements of the Company were duly endorsed by CEO and CFO before approval of the board.

13. The directors, CEO and executives do not hold any interest in the shares of the Company other than that disclosed in the pattern of shareholding.

14. The Company has complied with all the corporate and financial reporting requirements of the CCG.

15. The Board has formed an Audit Committee which is comprised of five members, of whom four are non-executive directors. The chairman of the committee is an independent director.

16. The meetings of the Audit Committee were held at least once every quarter prior to the approval of interim and final results of the Company and as required by the CCG. The terms of reference of the committee have been formed and advised to the committee for compliance.

17. The Board has formed a Human Resource and Remuneration Committee which is comprised of three members, of whom two are non-executive director. The chairman of the committee is a non-executive Director.

18. The board has set up an effective internal audit function.

19. The statutory auditors of the Company have confirmed that they have been given a satisfactory rating under the quality control review program of the ICAP, that they or any of the partners of the firm, their spouses and minor children do not hold

shares of the Company and that the firm and all its partners are in compliance with International Federation of Accountants (IFAC) guidelines on code of ethics as adopted by the ICAP.

20. The statutory auditors or the persons associated with them have not been appointed to provide other services except in accordance with the listing regulations and the auditors have confirmed that they observed IFAC guidelines in this regard.

21. The ‘closed period’ prior to the announcement of interim/final results, and business decisions, which may materially affect the market price of Company’s securities, was determined and intimated to directors, employees and stock exchanges.

22. Material/price sensitive information has been disseminated among all market participants at once through stock exchanges.

23. We confirm that all other material principles enshrined in the CCG have been complied with.

ISLAMABAD DR. MANZOOR H. QAZISeptember 20, 2014 Chief Executive Officer


Review Report to the MembersOn the Statement of Compliance with the Code of Corporate Governance

We have reviewed the enclosed Statement of Compliance with the best practices contained in the Code of Corporate Governance (the Code) prepared by the Board of Directors (the Board) of Shifa International Hospitals Limited, (“the Company”) for the year ended June 30, 2014 to comply with the requirements of Listing Regulations No. 35 of Stock Exchanges, where the Company is listed.

The responsibility for compliance with the Code of Corporate Governance is that of the Board of Directors of the Company. Our responsibility is to review, to the extent where such compliance can be objectively verified, whether the Statement of Compliance reflects the status of the Company’s compliance with the provisions of the Code and report if it does not and to highlight any non-compliance with the requirements of the Code. A review is limited primarily to inquiries of the Company’s personnel and review of various documents prepared by the Company to comply with the Code.

As part of our audit of financial statements we are required to obtain an understanding of the accounting and internal control systems sufficient to plan the audit and develop an effective audit approach. We are not required to consider whether the Board’s statement on internal control covers all risks and controls, or to form an opinion on the effectiveness of such internal controls, the Company’s corporate governance procedures and risks.

The Code requires the Company to place before the Audit Committee, and upon recommendation of the Audit Committee, place before the Board of Director for their review and approval its related party transactions, distinguishing between transactions carried out on terms equivalent to those that prevail in arm’s length transactions and transactions which are not executed at arm’s length price and recording proper justification for using such alternative pricing mechanism. We are only required and have ensured compliance of this requirement to the extent of the approval of the related party transactions by the Board upon recommendation of the Audit Committee. We have not carried out any procedure to determine whether the related party transactions were undertaken at arm’s length price or not.

Based on our review, nothing has come to our attention which causes us to believe that the Statement of Compliance does not appropriately reflect the Company’s compliance, in all material respects, with the best practices contained in the Code as applicable to the Company for the year ended June 30, 2014.

ANJUM ASIM SHAHID RAHMAN

Chartered AccountantsEngagement Partner: Nadeem Tirmizi

IslamabadDate: 20 September, 2014

Anjum Asim Shahid Rahman1st Floor, 2 Ali Plaza1-E, Jinnah AvenueBlue Area, IslamabadPakistan

T: +92 51 2271906, 2274665, 2273883F: +92 51 2273874W: www.gtpak.com


Auditors' Report to the MembersWe have audited the annexed balance sheet of Shifa International Hospitals Limited, ("the Company") as at June 30, 2014 and the related profit and loss account, statement of comprehensive income, cash flow statement and statement of changes in equity together with the notes forming part thereof, for the year then ended and we state that we have obtained all the information and explanations which, to the best of our knowledge and belief, were necessary for the purposes of our audit.

It is the responsibility of the Company’s management to establish and maintain a system of internal control, and prepare and present the above said statements in conformity with the approved accounting standards and the requirements of the Companies Ordinance, 1984. Our responsibility is to express an opinion on these statements based on our audit.

We conducted our audit in accordance with the auditing standards as applicable in Pakistan. These standards require that we plan and perform the audit to obtain reasonable assurance about whether the above said statements are free of any material misstatement. An audit includes examining, on test basis, evidence supporting the amounts and disclosures in the above said statements. An audit also includes assessing the accounting policies and significant estimates made by the management, as well as, evaluating the overall presentation of the above said statements. We believe that our audit provides a reasonable basis for our opinion and, after due verification, we report that:-

a. in our opinion, proper books of accounts have been kept by the Company as required by the Companies Ordinance, 1984;

b. in our opinion:-

i. the balance sheet and profit and loss account together with the notes thereon have been drawn up in conformity with the Companies Ordinance, 1984, and are in agreement with the books of accounts and are further in accordance with accounting policies consistently applied except for the changes stated in the note 3.12 with which we concur;

ii. the expenditure incurred during the year was for the purpose of the Company’s business; and

iii. the business conducted, investments made and the expenditure incurred during the year were in accordance with the objects of the Company.

c. in our opinion and to the best of our information and according to the explanations given to us, the balance sheet, profit and loss account, statement of comprehensive income, cash flow statement and statement of changes in equity together with the notes forming part thereof conform with approved accounting standards as applicable in Pakistan, and, give the information required by the Companies Ordinance, 1984, in the manner so required and respectively give a true and fair view of the state of the Company’s affairs as at June 30, 2014 and of the profit, comprehensive income, its cash flows and changes in equity for the year then ended; and

d. in our opinion, Zakat deductible at source under the Zakat and Ushr Ordinance, 1980 (XVIII of 1980), was deducted by the Company and deposited in the Central Zakat Fund established under section 7 of that Ordinance.

ANJUM ASIM SHAHID RAHMAN

Chartered AccountantsAudit Engagement Partner: Nadeem Tirmizi

IslamabadDate: 20 September, 2014

Anjum Asim Shahid Rahman1st Floor, 2 Ali Plaza1-E, Jinnah AvenueBlue Area, IslamabadPakistan

T: +92 51 2271906, 2274665, 2273883F: +92 51 2273874W: www.gtpak.com


(Restated) (Restated)2014 2013 2012

Note --------------- (Rupees in ‘000’) ---------------

SHARE CAPITAL AND RESERVES

Share capital 4 505,138 505,138 505,138 Capital reserve 5 40,000 40,000 40,000 Unappropriated profit 1,344,260 1,042,248 731,802

1,889,398 1,587,386 1,276,940 SURPLUS ON REVALUATION OF PROPERTY, PLANT AND EQUIPMENT 6 760,176 583,373 590,552

NON CURRENT LIABILITIESLong term financing - secured 7 1,166,667 1,669,500 1,218,086 Deferred taxation 8 441,466 448,724 445,701

1,608,133 2,118,224 1,663,787

CURRENT LIABILITIES

Trade and other payables 9 1,197,572 892,923 828,741 Markup accrued 10 1,458 5,761 41,096 Short term running finance - secured 11 39,675 - - Current portion of long term financing 7 337,833 70,000 258,602 Provision for taxation - net 12 21,286 - -

1,597,824 968,684 1,128,439

5,855,531 5,257,667 4,659,718

CONTINGENCIES AND COMMITMENTS 13

The annexed notes 1 to 40 form an integral part of these financial statements.

Balance SheetAS AT JUNE 30, 2014

CHAIRMAN CHIEF EXECUTIVE


(Restated) (Restated)2014 2013 2012

Note --------------- (Rupees in ‘000’) ---------------

NON CURRENT ASSETS

Property, plant and equipment 14 4,036,797 3,616,518 3,469,388 Long term deposits 15 40,651 31,041 22,066

4,077,448 3,647,559 3,491,454

CURRENT ASSETS

Stores, spare parts and loose tools 16 171,882 157,001 107,212 Stock-in-trade 17 212,538 205,482 201,801 Trade debts 18 343,029 337,976 348,672 Loans and advances 19 164,577 126,324 110,061 Trade deposits and short term prepayments 20 37,183 16,347 14,664 Markup accrued 1,113 552 296 Other financial assets 21 101,235 102,011 - Tax refunds due from the government (net of provision) 22 - 2,880 79,106 Cash and bank balances 23 449,052 661,535 306,452

1,480,609 1,610,108 1,168,264

NON CURRENT ASSET HELD FOR SALE 24 297,474 - -

5,855,531 5,257,667 4,659,718

CHIEF FINANCIAL OFFICER


Profit and Loss AccountFOR THE YEAR ENDED JUNE 30, 2014

(Restated)2014 2013

Note ---------- (Rupees in ‘000’) ----------

Net revenue 25 6,393,105 5,315,589

Other income 26 56,127 40,540

Operating costs 27 (5,622,197) (4,625,532)

Finance cost 28 (190,462) (190,279)


Provision for taxation 29 (172,017) (152,166)


Earnings per share - basic and diluted - (Rupees) 30 9.20 7.68


CHIEF EXECUTIVECHAIRMAN CHIEF FINANCIAL OFFICER


Statement of Comprehensive Income FOR THE YEAR ENDED JUNE 30, 2014

(Restated)2014 2013

-------- (Rupees in ‘000’) --------


Loss on remeasurement of staff gratuity fund benefit plan (27,588) (13,808)

Deferred tax credit relating to remeasurement of staff gratuity fund benefit plan 9,104 4,694

Loss on remeasurement of staff gratuity fund benefit plan (net of tax) (18,484) (9,114)

Surplus on revaluation of property, plant and equipment 184,284 -

Total comprehensive income for the year 630,356 379,038




Cash Flow Statement FOR THE YEAR ENDED JUNE 30, 2014

2014 2013 Note -------- (Rupees in ‘000’) --------

CASH FLOWS FROM OPERATING ACTIVITIES

Profit before taxation 636,573 540,318 Adjustments for:Depreciation / amortization of property, plant and equipment 318,571 272,984 Provision for doubtful debts 48,869 12,601 Property, plant and equipment written off 9,927 3,743 Loss / (gain) on disposal of property, plant and equipment 663 (1,835)Provision for compensated absences 25,370 25,636 Provision for gratuity 50,389 26,061 Provision for slow moving 370 2,242 Liabilities written back (992) (1,797)Profit on investments and bank deposits (39,764) (25,280)Loss / (gain) on foreign currency translation 767 (399)Finance cost 190,462 190,279 Operating cash flows before changes in working capital 1,241,205 1,044,553 Changes in working capital:(Increase) / decrease in current assets:Stores, spare parts and loose tools (15,042) (52,495)Stock-in-trade (7,056) (3,682)Trade debts (53,922) (1,255)Loans and advances (38,253) (16,868)Trade deposits and short term prepayments (20,836) (1,683)Increase / (decrease) in current liabilities:Trade and other payables 263,922 32,670 Cash generated from operations 1,370,018 1,001,240

Finance cost paid (194,765) (225,614)Income tax paid (146,004) (68,223)Payment to gratuity fund (46,737) (21,788)Compensated absences paid (16,951) (14,960)Net cash from operating activities 965,561 670,655

CASH FLOWS FROM INVESTING ACTIVITIES

Purchase of property, plant and equipment (863,054) (423,720)Proceeds from disposal of property, plant and equipment 961 2,797 Profit received 39,203 25,024 Increase in long term deposits (9,610) (8,976)Net cash used in investing activities (832,500) (404,875)

CASH FLOWS FROM FINANCING ACTIVITIES

Long term financing - disbursements - 1,500,000 - repayments (235,000) (1,237,188)Dividend paid (150,228) (71,897)Net cash (used in)/from financing activities (385,228) 190,915

Net (decrease) / increase in cash and cash equivalents (252,167) 456,695 Cash and cash equivalents at beginning of year 763,546 306,452 Effect of exchange rate changes on cash and cash equivalents (767) 399 Cash and cash equivalents at end of year 36 510,612 763,546




Statement of Changes in Equity FOR THE YEAR ENDED JUNE 30, 2014

Share capital

Capital reserve

Unappropriated profit

Surplus on revaluation

of property, plant and equipment

Total

------------------------------------- (Rupees in ‘000’) -------------------------------------Balance at July 01, 2012 - as previously reported 505,138 40,000 742,132 590,552 1,877,822 Change in accounting policy for recognition of actuarial losses (note 3.12) - - (10,330) - (10,330)Balance at July 01, 2012 - restated 505,138 40,000 731,802 590,552 1,867,492

Total comprehensive income for the yearProfit for the year - - 388,152 - 388,152 Other comprehensive income - - (9,114) - (9,114)Total comprehensive income for the year - - 379,038 - 379,038

Transfer of depreciation / amortization on incremental value arising on revaluation of property, plant and equipment attributed to current year - - 7,179 (7,179) -

Distribution to ownersDividend 2012: Rs. 1.50 per share - - (75,771) - (75,771)

Balance at June 30, 2013 - restated 505,138 40,000 1,042,248 583,373 2,170,759

Total comprehensive income for the yearProfit for the year - - 464,556 - 464,556 Other comprehensive income - - (18,484) 184,284 165,800

Total comprehensive income for the year - - 446,072 184,284 630,356

Transfer of depreciation / amortization on incremental value arising on revaluation of property, plant and equipment attributed to current year - - 7,481 (7,481) -

Distribution to ownersDividend 2013: Rs. 3 per share - - (151,541) - (151,541)

Balance at June 30, 2014 505,138 40,000 1,344,260 760,176 2,649,574




1 STATUS AND NATURE OF BUSINESS

Shifa International Hospitals Limited (“the Company”) was incorporated in Pakistan on September 29, 1987 as a private limited company under the Companies Ordinance, 1984 and converted into a public limited company on October 12, 1989. The Company is listed on all the three stock exchanges of Pakistan. The registered office of the Company is situated at Sector H-8/4, Islamabad.

The principal activity of the Company is to establish and run medical centres and hospitals in Pakistan. The Company has established its first hospital in 1993 in Islamabad and second hospital in 2011 in Faisalabad. Besides this, the Company is running medical centres, pharmacies and lab collection points in different cities of Pakistan.

2 BASIS OF PREPARATION

2.1 Statement of compliance

These financial statements have been prepared in accordance with approved accounting standards as applicable in Pakistan. Approved accounting standards comprise of such International Financial Reporting Standards (IFRS) issued by the International Accounting Standard Board as are notified under the Companies Ordinance, 1984, provisions of and directives issued under the Companies Ordinance, 1984. In case requirements differ, the provisions or directives of the Companies Ordinance, 1984 shall prevail.

2.2 Basis of measurement

These financial statements have been prepared under the historical cost convention, modified by:-- revaluation of certain items of property, plant and equipment; and- recognition of certain employee benefits at present value.

2.3 Functional and presentation currency

These financial statements are presented in Pak Rupees, which is the Company’s functional and presentation currency.

2.4 Use of estimates and judgments

The preparation of financial statements in conformity with approved accounting standards requires management to make judgments, estimates and assumptions that affect the application of policies and reported amounts of assets, liabilities, income and expenses. The estimates and associated assumptions are based on historical experience and various other factors that are believed to be reasonable under the circumstances, the results of which form the basis of making judgment about carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which estimates are revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods.

Judgments made by management in the application of the approved accounting standards that have significant effect on the financial statements and estimates with a significant risk of material adjustment in the next year are discussed in the ensuing paragraphs.

2.4.1 Property, plant and equipment

The Company reviews the useful lives of property, plant and equipment on regular basis. Any change in estimates in future years might affect the carrying amounts of the respective items of property, plant and equipment with a corresponding effect on the depreciation/ amortization charge and impairment.

Notes to the Financial Statements FOR THE YEAR ENDED JUNE 30, 2014


2.4.2 Provision for doubtful debts

The Company estimates the recoverability of the trade debts and provides for doubtful debts based on its prior experience. The carrying amounts of trade debts and provision for doubtful debts are disclosed in note 18 to these financial statements.

2.4.3 Stock in trade / stores, spares and loose tools

The Company reviews the net realizable value of stock in trade and stores, spares and loose tools to assess any diminution in the respective carrying values. Net realizable value is determined with reference to estimated selling price less estimated expenditures to make the sale.

2.4.4 Employee benefits

The Company operates approved funded gratuity scheme covering all its employees who have completed the minimum qualifying period of service as defined under the scheme. The gratuity scheme is managed by trustees. The calculation of the benefit requires assumptions to be made of future outcomes, the principal ones being in respect of increase in remuneration and the discount rate used to convert future cash flows to current values. The assumptions used for the plan are determined by independent actuary on annual basis.

The amount of the expected return on plan assets is calculated using the expected rate of return for the year and the market-related value at the beginning of the year. Gratuity cost primarily represents the increase in actuarial present value of the obligation for benefits earned on employee service during the year and the interest on the obligation in respect of employee service in previous years, net of the expected return on plan assets. Calculations are sensitive to changes in the underlying assumptions.

2.4.5 Taxation

The Company takes into account the current income tax law and decisions taken by appellate authorities. Instances where the Company’s view differs from the view taken by the income tax department at the assessment stage and where the Company considers that its view on items of material nature is in accordance with law, the amounts are shown as contingent liabilities.

2.4.6 Contingencies

The Company has disclosed significant contingent liabilities for the pending litigations and claims against the Company based on its judgment and the advice of the legal advisors for the estimated financial outcome. The actual outcome of these litigations and claims can have an effect on the carrying amounts of the liabilities recognised at the balance sheet date. However, based on the best judgment of the Company and its legal advisors, the likely outcome of these litigations and claims is remote and there is no need to recognise any liability at the balance sheet date.

2.5 New accounting standards, interpretations and amendments

During the year certain amendments to standards or new interpretations became effective, however, the amendments or interpretation did not have any material effect on these financial statements.

The following revised standards and amendments and interpretations to the approved accounting standards, as applicable in Pakistan, would be effective from the dates mentioned below against the respective standard.



Effective date (annual periods beginning on or

after)

IFRS 2 Share-based Payments (Amendments) July 1, 2014IFRS 3 Business Combinations (Amendments) July 1, 2014IFRS 8 Operating Segments (Amendments) July 1, 2014IFRS 10 Consolidated Financial Statements (Amendments) January 1, 2014IFRS 12 Disclosure of Interests in Other Entities (Amendments) January 1, 2014IFRS 13 Fair Value Measurements (Amendments) July 1, 2014IAS 16 Property, Plant and Equipment (Amendments) July 1, 2014IAS 19 Employee Benefits (Amendments) July 1, 2014IAS 24 Related Party Disclosures (Amendments) July 1, 2014IAS 27 Separate Financial Statements (Amendments) January 1, 2014IAS 32 Financial Instruments: Presentation (Amendments) January 1, 2014IAS 36 Impairment of Assets (Amendments) January 1, 2014IAS 38 Intangible Assets (Amendments) July 1, 2014IAS 39 Financial Instruments: Recognition and measurement (Amendments) January 1, 2014IAS 40 Investment Property (Amendments) July 1, 2014IFRIC 21 Levies January 1, 2014

The management anticipates that the adoption of the above standards, amendments and interpretations in future periods, will have no material impact on the financial statements other than the impact on presentation/disclosures. The Company is yet to assess the full impact of the amendments.

Further, the following new standards and interpretations have been issued by the International Accounting Standards Board (IASB), which are notified by the Securities and Exchange Commission of Pakistan, for the purpose of their applicability on following dates in Pakistan:

IFRS 10 Consolidated Financial Statements January 1, 2015IFRS 11 Joint Arrangements January 1, 2015IFRS 12 Disclosure of Interests in Other Entities January 1, 2015IFRS 13 Fair Value Measurement January 1, 2015

The following interpretations issued by the IASB have been waived of by SECP effective January 16, 2012:

IFRIC 4 Determining whether an arrangement contains leaseIFRIC 12 Service Concession Arrangements

3 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The accounting policies set out below have been applied consistently to all periods presented in these financial statements except a change disclosed in note 3.12 below.

3.1 Property, plant and equipment

Property, plant and equipment except freehold, leasehold land and capital work in progress are stated at cost less accumulated depreciation/ amortization and impairment in value, if any. Leasehold land is stated at revalued amount being the fair value at the date of revaluation, less any subsequent accumulated depreciation and impairment losses while freehold land is stated at revalued amount being the fair value at the date of revaluation, less any subsequent impairment losses, if any. Any revaluation increase arising on the revaluation of such assets is credited in ‘Surplus on Revaluation of Property, Plant and Equipment’. A decrease in the carrying amount arising on revaluation is charged to profit or loss to the extent that it exceeds the balance, if any, held in the surplus on revaluation account relating to a previous revaluation of that asset. Leasehold land is amortized over the lease period extendable up to 99 years.

The surplus on revaluation of property, plant and equipment to the extent of incremental depreciation / amortization charged on the related asset is transferred to unappropriated profit.



Capital work-in-progress and stores held for capital expenditure are stated at cost less any impairment loss recognised, if any. All expenditure connected with specific assets incurred during installation and construction period are carried under capital work-in-progress. These are transferred to specific item of property, plant and equipment when available for intended use.

Subsequent costs are included in the asset’s carrying amount or recognized as a separate asset, as appropriate, only when it is probable that future economic benefits associated with the item will flow to the Company and the cost of the item can be measured reliably. All other repairs and maintenance costs that do not meet the recognition criteria are charged to profit and loss account as and when incurred.

Depreciation/ amortization is charged to profit and loss account commencing when the asset is ready for its intended use, applying the straight-line method over the estimated useful life.

In respect of additions and disposals during the year, depreciation/ amortization is charged when the asset is available for use and up to the month preceding the asset’s classification as held for sale or derecognized, whichever is earlier.

Assets are derecognized when disposed off or when no future economic benefits are expected to flow from its use. Gains and losses on disposal of an item of property, plant and equipment are determined by comparing the proceeds from disposal with the carrying amount of property, plant and equipment, and are recognized on net basis within “other income” in profit and loss account.

3.2 Leases

Leases are classified as finance lease whenever the terms of the lease transfer substantially all the risks and rewards of ownership to the Company. All other leases are classified as operating leases.

Finance leases as lessee

The Company recognizes finance leases as assets and liabilities in the balance sheet at amounts equal, at the inception of the lease, to the fair value of the asset or, if lower, at the present value of the minimum lease payments. In calculating the present value of the minimum lease payments the discount factor used is the interest rate implicit in the lease. Initial direct costs incurred are included as part of the amount recognized as an asset. The liabilities are classified as current and long term depending upon the timing of payment. Lease payments are apportioned between the finance charge and the reduction of outstanding liability. The finance charge is allocated to periods during the lease term so as to produce a constant periodic rate of interest on the remaining balance of the liability for each period. Finance charges are charged directly to profit and loss account.

Operating leases/Ijarah contracts

As lessor

Rental income from operating leases is recognized on straight-line basis over the term of the relevant lease.

As lessee

Rentals payable under operating leases / Ijarah are charged to profit and loss account on a straight-line basis over the term of relevant lease / Ijarah.

3.3 Impairment

Non financial assets

The Company assesses at each balance sheet date whether there is any indication that assets except deferred tax assets and inventory may be impaired. If such indication exists, the carrying amounts of such assets are reviewed to assess whether they are recorded in excess of their recoverable amount. Where carrying values exceed the respective recoverable amounts, assets are written down to their recoverable amounts and the resulting impairment loss is recognized in profit and loss account except for the impairment loss on revalued assets, which is adjusted against the related revaluation surplus to the extent that the impairment loss does not exceed the surplus on revaluation of that asset. The recoverable amount is the higher of an asset’s fair value less costs to sell and its value in use.



Where impairment loss subsequently reverses, the carrying amount of the asset is increased to the revised recoverable amount but limited to the extent of the carrying amount that would have been determined (net of depreciation/ amortization) had no impairment loss been recognized for the asset in prior years. Reversal of impairment loss is recognized in profit and loss account.

Financial assets

Financial assets are assessed at each reporting date to determine whether there is objective evidence that they are impaired. A financial asset is impaired if objective evidence indicates that a loss event has occurred after the initial recognition of the asset, and that the loss event had a negative effect on the estimated future cash flows of that asset that can be estimated reliably. Objective evidence that financial assets are impaired may include default or delinquency by a debtor, indications that a debtor or issuer will enter bankruptcy.

3.4 Investments

All purchases and sales of investments are recognized using settlement date accounting. Settlement date is the date on which that investments are delivered to or by the Company. All investments are derecognized when the rights to receive cash flows from the investments have expired or have been transferred and the Company has transferred substantially all risks and rewards of ownership.

3.5 Investments held to maturity

Investments with fixed or determinable payments and fixed maturity that the Company has the positive intent and ability to hold till maturity are classified as investment held to maturity. These are initially recognized at cost inclusive of transaction cost and are subsequently carried at amortized cost using the effective interest rate method less impairment loss, if any. This method uses an effective interest rate that exactly discounts estimated future cash receipts through the expected life of the investment to its net carrying amount.

3.6 Stores, spare parts and loose tools

These are valued at cost, determined on moving average cost basis, or net realizable value, whichever is lower, less allowance for obsolete and slow moving items. For items which are slow moving and/or identified as surplus to the Company’s requirement, a provision is made for excess of book value over estimated net realizable value. The Company reviews the carrying amount of stores, spare parts and loose tools on a regular basis and provision is made for obsolescence, if there is any change in usage pattern and physical form of related stores, spare parts and loose tools.

3.7 Stock-in-trade

Stock-in-trade is valued at lower of cost, determined on moving average basis or net realizable value. The Cost includes expenditure incurred in acquiring the stock items and other cost incurred in bringing them to their present location and condition.

3.8 Trade debts and other receivables

Trade debts and other receivables are carried at original bill amount less an estimate made for doubtful receivables based on review of outstanding amounts at the year end. Balances considered bad and irrecoverable are written off against provision.

3.9 Cash and cash equivalents

Cash and cash equivalents are carried in the balance sheet at cost. For the purpose of cash flow statement, cash and cash equivalents comprise cash in hand, cheques in hand, balances with banks and highly liquid short term investments that are readily convertible to known amounts of cash and which are subject to insignificant risk of change in value with maturity of three months or less from the date of acquisition and short term borrowings.



3.10 Financial instruments

Financial assets and liabilities are recognized when the Company becomes a party to the contractual provisions of the instrument. These are derecognized when the Company looses control of contracted rights that comprise the financial assets and in the case of financial liabilities when the obligation specified in the contract is discharged, cancelled or expired. Any gain or loss on derecognition of financial assets and financial liabilities is included in profit & loss account currently.

The particular recognition methods adopted by the Company are disclosed in the individual policy statements associated with each item of the financial instruments.

3.11 Offsetting

A financial asset and a financial liability is offset and the net amount is reported in the balance sheet, if the Company has a legal enforceable right to set-off the recognized amounts and intends either to settle on net basis or to realize the asset and settle the liability simultaneously.

3.12 Employee benefits

Defined benefit plan

The Company operates approved funded gratuity scheme for all its employees who have completed the minimum qualifying period of service as defined under the respective scheme. Provision is made annually to cover obligations under the scheme on the basis of actuarial valuation and is charged to income. The most recent valuation was carried out as at June 30, 2014 using the “Projected Unit Credit Method”. The results of actuarial valuation are summarized in note 9.4 of these financial statements.

The amount recognized in the balance sheet represents the present value of defined benefit obligations as reduced by the fair value of plan assets.

Consequent to the revision of IAS 19 “Employees Benefits” which is effective for annual periods beginning on or after January 01, 2013, the Company has changed its accounting policy wherein, the actuarial gains and losses (remeasurement gains / (losses) on Employees’ Gratuity Fund benefit are recognized immediately in Other Comprehensive income. Previously, the actuarial gains or losses in excess of corridor limit were recognized in profit and loss over the remaining service life of the employees. In accordance with the transitional provisions of IAS 19, the change in accounting policy has been accounted for retrospectively and the comparative figures have thereby been restated as below. The adoption of above accounting policy has no effect on the cash flow statement.

Effect for the year ended

June 30, 2013(Rupees in ‘000’)

Profit and Loss Account

Decrease in operating costs (429)

Increase in provision for taxation 150

(279)

Other Comprehensive Income

Increase in loss on remeasurement of staff retirement benefit plans (13,808)

Decrease in deferred tax charge relating to remeasurement of staff retirement benefit plans 4,694

Decrease in other comprehensive income - net of tax (9,114)

Increase in earnings per share - basic and diluted - (Rupees) 0.01



Cumulative effect upto

June 30, 2013

Cumulative effect upto

June 30, 2012-------- (Rupees in ‘000’) --------

Balance Sheet

Increase in trade and other payables (29,701) (13,939)Decrease in trade deposits and short term prepayments - (1,954)

(29,701) (15,893)Decrease in deferred tax liability 10,257 5,563 Decrease in capital work in progress (6) - Increase in taxation (150) - Decrease in equity (19,600) (10,330)

Calculation of gratuity requires assumptions to be made of future outcomes which mainly include increase in remuneration, expected long term return on plan assets and the discount rate used to convert future cash flows to current values. Calculations are sensitive to changes in the underlying assumptions.

Compensated absences

The Company provides for compensated absences of its employees on unavailed balance of leaves in the period in which the leave is earned. Accrual to cover the obligations is made using the current salary levels of the employees.

3.13 Trade and other payables

Liabilities for trade and other amounts payable are measured at cost which is the fair value of the consideration to be paid in the future for goods and services received.

3.14 Provisions

Provisions are recognized when the Company has a present legal or constructive obligation as a result of a past event, it is probable that an outflow of resources embodying economic benefits will be required to settle the obligation and a reliable estimate of the amount can be made. However, provisions are reviewed at each balance sheet date and adjusted to reflect the current best estimates.

3.15 Taxation

Taxation for the year comprises current and deferred tax. Taxation is recognized in the profit and loss account except to the extent that it relates to items recognized directly in equity or in other comprehensive income.

Current

Provision for current taxation is based on taxable income at the current rates of tax after taking into account applicable tax credits, rebates, losses and exemptions available, if any.

Deferred

Deferred tax is accounted for using the balance sheet liability method in respect of all taxable temporary differences arising from differences between the carrying amount of assets and liabilities in the financial statements and the corresponding tax bases used in the computation of taxable profit. Deferred tax liabilities are recognized for all taxable temporary differences and deferred tax assets are recognized to the extent that it is probable that taxable profits will be available against which the deductible temporary differences, unused tax losses and tax credits can be utilised. Deferred tax assets are reviewed at each reporting date and are reduced to the extent that is no longer probable that the related tax benefit will be realized.



Deferred tax is calculated at the rates that are expected to apply to the period when the differences reverse, based on tax rates that have been enacted. Deferred tax assets and liabilities are offset if there is a legally enforceable right to offset current tax liabilities and assets and they relate to income taxes levied by the same tax authority on the same taxable entity or on different tax entities but they intend to settle current tax liabilities and assets on a net basis or their tax assets and liabilities will be realised simultaneously.

3.16 Foreign currencies

Transactions in currencies other than Pak Rupees are recorded at the rates of exchange prevailing on the dates of transactions. At each balance sheet date, monetary assets and liabilities that are denominated in foreign currencies are retranslated at the rate prevailing on the balance sheet date. Gains and losses arising on retranslation are included in net profit or loss for the year.

3.17 Revenue recognition

Revenue is measured at the fair value of the consideration received or receivable and represents amounts received or receivable for goods and services provided in the normal course of business. Revenue is recognised in the accounting period in which the services are rendered and goods are delivered and it is probable that the economic benefits associated with the transactions will flow to the Company and the amount of the revenue can be measured reliably.

Interest income is accrued on a time basis, by reference to the principal outstanding and at the effective interest rate applicable, which is the rate that exactly discounts estimated future cash receipts through the expected life of the financial asset to that asset’s net carrying amount.

Rental income is recognized on a straight line basis over the term of the rent agreement.

Scrap sales and miscellaneous receipts are recognised on realised amounts.

3.18 Borrowings

Borrowing are recognized initially at fair value net off transaction cost incurred and are subsequently measured at amortized cost using the effective interest rate method. Borrowings are classified as current liabilities unless the Company has an unconditional right to defer settlement of liability for at least twelve months after the balance sheet date.

3.19 Borrowing costs

Borrowing costs which are directly attributable to the acquisition, construction or production of a qualifying asset are capitalised as part of the cost of that asset. All other borrowing costs are charged to profit or loss.

3.20 Earnings per share

The Company presents basic and diluted earnings per share (EPS) data for its ordinary shares. Basic EPS is calculated by dividing the profit or loss attributable to ordinary shareholders of the Company by the weighted average number of ordinary shares outstanding during the period. Diluted EPS is determined by adjusting the profit or loss attributable to ordinary shareholder and weighted average number of ordinary shares outstanding for the effects of all potential ordinary shares.

3.21 Dividend

Dividend is recognised as a liability in the period in which it is declared.

3.22 Non current asset held for sale

Non-current assets are classified as held for sale when their carrying amounts are expected to be recovered principally through a sale transaction and a sale is considered highly probable. They are stated at the lower of carrying amount immediately prior to their classification as held for sale and fair value less cost to sell. Once classified as held for sale, the assets are not subject to depreciation or amortization.



4 SHARE CAPITAL

Issued, subscribed and paid up capital

2014 2013 2014 2013 Number -------- (Rupees in ‘000’) --------

50,513,800 50,513,800 Ordinary shares of Rs. 10 each fully paid in cash 505,138 505,138

4.1 The Company has only one class of ordinary shares which carries no right to fixed income. The shareholders are entitled to receive dividends as declared from time to time and are entitled to one vote per share at meetings of the Company. All shares rank equally with regard to the Company’s residual assets.

4.2 The Company has no reserved shares for issuance under options and sales contracts.

Authorized capital

This represents 54,537,900 (2013: 54,537,900) ordinary shares of Rs. 10 each amounting to Rs. 545,379,000 (2013: Rs. 545,379,000).

5 CAPITAL RESERVE

This represents premium of Rs. 5 per share received on public issue of 8,000,000 ordinary shares of Rs. 10 each in 1994. This reserve cannot be utilised except for the purposes mentioned under section 83 of the Companies Ordinance, 1984.

6 SURPLUS ON REVALUATION OF PROPERTY, PLANT AND EQUIPMENT2014 2013

-------- (Rupees in ‘000’) --------

Balance at beginning of year 583,373 590,552 Addition during the year due to revaluation 184,284 - Transferred to unappropriated profits in respect of incremental depreciation charged during the year (7,481) (7,179)Balance at end of year 760,176 583,373

6.1 Surplus on revaluation of fixed assets in respect of leasehold / freehold land, which was revalued in 1999, 2004, 2009 and 2014 as disclosed in note 14.1. Due to revaluation of leasehold / freehold land, incidence of related deferred tax liability does not arise.

2014 2013 Note -------- (Rupees in ‘000’) --------

7 LONG TERM FINANCING - SECURED

From banking and non-banking companies

Meezan Bank Limited - DM III 7.2 - 220,000 First Habib Modaraba 7.3 4,500 19,500 Syndicated Islamic Finance Facility 7.4 1,500,000 1,500,000

1,504,500 1,739,500 Less: Current portion 337,833 70,000

1,166,667 1,669,500



7.1 The Company has fully availed all the above facilities.

7.2 This represented Diminishing Musharika (DM III) facility obtained on markup basis at 3 months KIBOR plus 1.25% (2013: 3 months KIBOR plus 1.25%) per annum of four tranches of Rs. 75 million, Rs. 48 million, Rs. 52 million and Rs. 45 million, repayable in 12 equal quarterly installments. The sanctioned limit for DM III was Rs. 220 million (2013: Rs. 220 million) which was repaid on April 22, 2014. The financing was secured by first pari passu charge on present and future fixed assets of the Company amounting to Rs. 786 million. The financing was further secured by personal guarantees of chief executive and two directors of the Company along with first exclusive charge of Rs. 334 million by way of token registered mortgage of Rs. 100,000 and rest against equitable mortgage of Plot No. 5 located at F-11, Markaz, Islamabad.

7.3 This represents Diminishing Musharika facilities obtained on markup basis at 6 months KIBOR plus 1% (2013: 6 months KIBOR plus 1%) per annum, repayable by November 27, 2014 in 12 equal quarterly installments. The aggregate sanctioned limit is Rs. 45 million (2013: Rs. 45 million). The financing is secured by charge on specific fixed assets of the Company amounting to Rs. 50 million.

7.4 This represents syndicated islamic finance facility, arrange and lead by Meezan Bank Limited, obtained on markup basis at 3 months KIBOR plus 1.25% (2013: 3 months KIBOR plus 1.25%) per annum, repayable in 18 equal quarterly installments. The sanction limit of this facility is Rs. 1,500 million (2013: Rs. 1,500 million) which shall be repaid by December 28, 2018. The financing is secured by ranking charge upgraded into first pari passu charge on all present and future fixed assets of the Company (excluding plot No. 5 , F-11 Markaz, Islamabad) amounting to Rs. 2,000 million.

(Restated)2014 2013

8 DEFERRED TAXATION Note -------- (Rupees in ‘000’) --------

Deferred tax liability 8.1 492,063 474,548 Deferred tax asset 8.2 (50,597) (25,824)Net deferred tax liability 441,466 448,724

8.1 Deferred tax liability on taxable temporary differences:

Accelerated depreciation allowance 492,063 474,548

8.2 Deferred tax asset on deductible temporary differences:

Specific provisions (31,236) (15,567)Retirement benefit obligation (19,361) (10,257)

(50,597) (25,824)




8.3 Movement in deferred taxationDeferred tax liabilities/(assets) As at July 1,

2013Profit and loss

Comprehensive income

As at June 30, 2014

------------------------- (Rupees in ‘000’) ------------------------The balance of deferred tax is in respect of the following temporary differences:

Effects of taxable temporary differences

Accelerated depreciation allowance 474,548 17,515 - 492,063

Deductable temporary differences

Provision for doubtful debts (15,567) (15,669) - (31,236)Retirement benefit obligation (10,257) - (9,104) (19,361)

448,724 1,846 (9,104) 441,466

Deferred tax liabilities As at July 1, 2012

Profit and lossComprehensive

incomeAs at June 30,

2013------------------------- (Rupees in ‘000’) ------------------------

The balance of deferred tax is in respect of following temporary differences:

Effects of taxable temporary differences

Accelerated depreciation allowance 463,181 11,367 - 474,548

Deductable temporary differences

Provision for doubtful debts (11,917) (3,650) - (15,567)Retirement benefit obligation (5,563) - (4,694) (10,257)

445,701 7,717 (4,694) 448,724

(Restated)2014 2013

Note -------- (Rupees in ‘000’) --------9 TRADE AND OTHER PAYABLES

Creditors 521,486 357,753 Accrued liabilities 158,055 151,433 Advances 9.1 96,861 30,781 Compensated absences 59,513 50,809 Medical consultants’ charges 211,858 208,709 Payable to related parties - unsecured 9.2 5,488 2,044 Security deposits 9.3 51,851 33,466 Unclaimed dividend 22,738 21,425 Retention money 5,611 4,093 Payable to Shifa International Hospitals Limited (SIHL) Employees’ Gratuity Fund 9.4 64,111 32,410

1,197,572 892,923

9.1 Advance payments include Rs. 30 million received as token money for non current asset held for sale [ref: note: 24]

9.2 This represent payables to Tameer-e-Millat Foundation and Shifa Foundation having common directorship with the Company. Maximum amount due at the end of any month during the year was Rs. 3,665.1 thousand (2013: Rs. 1,648.5 thousand) and Rs. 2,931.7 thousand (2013: Rs. 340.9 thousand ) respectively. Detail of balances of each related party are as under:



2014 2013 Note -------- (Rupees in ‘000’) --------

Tameer-e-Millat Foundation 2,767 1,658 Shifa Foundation 851 386 Shifa Tameer-e-Millat University (STMU) 9.2.1 1,870 -

5,488 2,044

9.2.1 Maximum amount due to STMU at the end of any month during the year was 6,107 thousand.

9.3 This represents customers’ and employees’ security deposits that are repayable on termination of respective agreements.

(Restated)2014 2013

Note -------- (Rupees in ‘000’) --------9.4 The amounts recognized in the balance sheet are as follows:

Present value of defined benefit obligations 9.4.1 231,089 170,372 Fair value of plan assets 9.4.2 (166,978) (137,962)

64,111 32,410

9.4.1 Movement in the present value of funded obligation is as follows:

Present value of defined benefit obligation at beginning 170,372 132,858 Interest cost 16,896 17,272 Current service cost 32,200 24,639 Past service cost 17,737 - Benefits paid (18,581) (13,641)Benefits payable (327) (183)Non refundable loan to employees adjustable against gratuity (10,925) (84)Remeasurement of defined benefit obligation 23,717 9,511 Present value of defined benefit obligation at end 231,089 170,372

9.4.2 Movement in the fair value of plan assets is as follows:

Fair value of plan assets at beginning 137,962 118,919 Expected return on plan assets 15,983 15,460 Contributions 46,737 21,788 Benefits paid (18,581) (13,641)Benefits payable (327) (183)Non refundable loan to employees adjustable against gratuity (10,925) (84)Remeasurement of plan assets (3,871) (4,297)Fair value of plan assets at end 166,978 137,962

9.4.3 Charge for the year is as follows:

Current service cost 32,200 24,639 Past service cost 17,737 - Interest cost 16,896 17,272 Expected return on plan assets (15,983) (15,459)

50,850 26,452



(Restated)2014 2013

-------- (Rupees in ‘000’) --------9.4.4 The charge has been allocated as follows:

Salaries, wages and benefits 50,389 26,055 Capital work in progress 461 397

50,850 26,452

9.4.5 Remeasurements recognized in Other Comprehensive Income (OCI) during the year

Remeasurement loss on obligation 23,717 9,511 Remeasurement loss on plan assets 3,871 4,297 Remeasurement loss recognized in OCI 27,588 13,808

9.4.6 Movement in liability recognised in balance sheet:

Balance at beginning of year 32,410 13,939 Cost for the year 50,850 26,452 Total amount of remeasurement recognized in OCI during the year 27,588 13,808 Contributions during the year (46,737) (21,788)Balance at end of year 64,111 32,410

9.4.7 Plan assets comprise of:

Accrued mark up - 2,848 Term deposit receipts 128,891 66,000 Cash and bank balances 38,596 69,297 Payable to outgoing members (509) (183)

166,978 137,962

9.4.8 The principal actuarial assumptions used in the actuarial valuation are as follows:2014 2013

Discount rate 10.5% 13.0%Expected rate of salary growth

Salary increase FY 2014 NA 9.5%Salary increase FY 2015 onward 12.25% 9.5%

Mortality rate SLIC 2001-2005

set back 1 year EFU 61-66

Withdrawal ratesage based

(per appendix)age based

(per appendix)

Retirement assumption Age 60 Age 60

9.4.9 Sensitivity analysis

The calculation of the defined benefit obligation is sensitive to assumptions set out above. The following table summarizes how the impact on the defined benefit obligation at the end of the reporting period would have increased / (decreased) as a result of a change in respective assumptions by one percent.



Defined benefit obligationEffect of 1%

increaseEffect of 1%

decrease-------- (Rupees in ‘000’) --------

Discount rate 214,692 249,917 Future salary growth 249,917 214,417

9.4.10 Projected benefit payments from fund are as follows:FY 2015 44,556 - FY 2016 49,528 - FY 2017 46,037 - FY 2018 46,610 - FY 2019 44,222 - FY 2020 41,097 - FY 2021 42,071 - FY 2022 51,993 - FY 2023 60,497 - FY 2024 45,104 - FY 2025 onwards 4,020,453 -

9.4.11 The average duration of the defined benefit obligation as at June 30, 2014 is 7 years. 2014 2013

10 MARKUP ACCRUED -------- (Rupees in ‘000’) --------

Long term financing - secured 1,408 5,761 Running finance facility - secured 50 -

1,458 5,761

11 SHORT TERM RUNNING FINANCE - SECURED

Short term running finance facility has been availed from the bank under markup arrangement. This carried markup at the rate of 3 months KIBOR plus 1% (2013: NIL) per annum repayable quarterly, calculated on daily product basis. The aggregate sanctioned limit of facility is Rs. 90 million (2013: NIL). The facility is secured by first pari passu charge on all present and future current assets of the Company of Rs. 202 million.

2014 2013 12 PROVISION FOR TAXATION - NET Note -------- (Rupees in ‘000’) --------

Balance at beginning of year (tax refundable) - restated 2,881 - Income tax paid/deducted at source during the year 146,004 -

148,885 - Less: provision for taxation for the year 29 170,171 - Balance at end of the year 21,286 -



2014 2013 Note -------- (Rupees in ‘000’) --------

13 CONTINGENCIES AND COMMITMENTS

13.1 Contingencies

Claims against the Company not acknowledged as debts:

Patients 13.1.1 183,303 161,000 Others 13.1.2 20,000 20,000 Letter of guarantee 13.1.3 34,443 26,943

13.1.1 This represents claims lodged by patients and their heirs against the Company for alleged negligence on part of the consultants/doctors. The management is contesting the claims which are pending in courts and believes that the contention of the claimants will not be successful and no material liability is likely to arise.

13.1.2 This represents the penalty imposed by Competition Commission of Pakistan to each Gulf Cooperation Council’s (GCC) Approved Medical Centres (GAMCs) including SIHL on account of alleged non competitive practice/ arrangement of territorial division and equal allocation of GAMCs customers. Management of the Company and other GAMCs are jointly contesting the matter and firmly believe that the case will be decided in favour of the GAMCs including SIHL.

13.1.3 This represents letters of guarantees issued by bank in favour of Sui Northern Gas Pipelines Limited (SNGPL) and Ministry of Economy U.A.E. in ordinary course of Company’s business.

2014 2013 13.2 Commitments -------- (Rupees in ‘000’) --------

13.2.1 Capital expenditure contracted 24,371 39,665

13.2.2 Letters of credit 81,603 34,029


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14.1 The Company had its leasehold land revalued in 1999, 2004, 2009 and 2014 Freehold land in 2009 and 2014 by an independent valuer, using fair market value. These revaluations resulted in net surplus of Rs. 180,873 thousand, Rs. 63,891 thousand, Rs. 377,743 thousand, Rs. 184,284 thousand respectively. The revaluation surplus amounting to Rs. 770,468 thousand has been included in the carrying value of the respective assets. Out of the revaluation surplus, an amount of Rs. 760,176 thousand (2013: Rs. 583,373 thousand ) remains undepreciated as at June 30, 2014.

Had there been no revaluation the carrying value would have been as under:

Cost at June 30

Accumulated amortization at June 30

Carrying value at June 30

Leasehold land ---------------------------------- (Rupees in ‘000’) ----------------------------------

2014 8,399 2,121 6,278

2013 325,065 14,031 311,034

Freehold land

2014 155,968 - 155,968

2013 148,168 - 148,168

14.2 Property, plant and equipment include items with aggregate cost of Rs. 21,416 thousand (2013: Rs. 20,607 thousand) representing fully depreciated assets that are still in use of the Company.

14.3 Property, plant and equipment of the Company are encumbered with banking Companies and non-banking financial institutions under financing arrangements, as disclosed in note 7 and 11.

14.4 The depreciation / amortization charge for the year has been allocated as follows:

2014 2013 Note -------- (Rupees in ‘000’) --------

Operating costs 27 318,571 272,984 Capital work in progress 14.6.1 400 587

318,971 273,571

14.5 Detail of property, plant and equipment disposed off during the current year:

Sr. No. Asset particulars Cost Carrying

value Sale

proceeds Purchaser Mode of disposal

-------- (Rupees in ‘000’) --------

1 NIBP Monitor 65 57 57 Nursing Staff Negotiation 2 Diesel Generators 2,180 1,332 695 Mr. Rizwan Haseeb Negotiation 3 Electric Generators 216 135 41 M/S Sana Traders Negotiation 4 Split Air Conditioner 148 102 170 Mr. Gulfiaz Negotiation

June 30, 2014 2,609 1,626 963

14.5.1 Property, plant and equipment having cost and book value of Rs. 5,103 thousand and Rs. 962 thousand respectively, were disposed off for Rs. 2,797 thousand during the year ended June 30, 2013.



2014 2013 Note -------- (Rupees in ‘000’) --------

14.6 Capital work in progress

Construction work in progress - at cost 14.6.1 74,255 90,937 Stores held for capital expenditure 14.6.2 34,942 12,454 Installation of equipment in progress 14.6.3 108,898 39,619

218,095 143,010

14.6.1 Construction work in progress - at cost

This represents cost of civil works mainly comprising of cost of materials, payments to contractors and salaries and benefits pertaining to different blocks of hospital building in H-8/4, Islamabad which are currently under construction. Given below is the break-up of these blocks:

2014 2013 Note -------- (Rupees in ‘000’) --------

Block “D” 7,080 46,116 Block “E” 9,334 25,492 Block “F” 3,771 15,171 Wapda substation 40,771 3,571 Other constructions 12,899 587 Depreciation capitalised during the year 14.4 400 -

74,255 90,937

14.6.2 Stores held for capital expenditure

Stores held for capital expenditure 39,768 17,071 Less: provision for slow moving items 14.6.2.1 4,826 4,617

34,942 12,454

14.6.2.1 Balance at beginning of the year 4,617 5,081 Charged/ (reversed) during the year 209 (464)

4,826 4,617

14.6.3 Installation of equipment in progress

Washer disinfector drying cabinet 10,023 - Digital radiography system 34,476 - Cleaning and washing units & steam sterilizers - 21,420 Medical gas supply system - 7,209 C-Arm - 8,465 Air conditioning chiller - 2,525 Linear accelerator 56,874 - LED/LCD monitors 3,881 - SCD Kendal Compression Device 3,644 -

108,898 39,619



2014 2013 Note -------- (Rupees in ‘000’) --------

15 LONG TERM DEPOSITS

Lease key money deposits 15.1 4,439 5,253 Less: current portion of lease key money deposits 20 1,955 1,301

2,484 3,952 Security deposits 15.2 38,167 27,089

40,651 31,041

15.1 This represents lease key deposits adjustable on expiry of respective ijarah financing arrangements against transfer of titles of relevant assets.

15.2 This represents security deposits given to various institutions / persons and are generally refundable on termination of relevant services / arrangements.

2014 2013 Note -------- (Rupees in ‘000’) --------

16 STORES, SPARE PARTS AND LOOSE TOOLS

Stores 155,022 149,598 Spare parts 24,041 14,665 Loose tools 747 505

178,810 164,768 Less: provision for slow moving items 16.1 7,928 7,767

171,882 157,001

16.1 Balance at beginning of the year 7,767 5,061 Charge for the year 161 2,706

7,928 7,767

17 STOCK-IN-TRADE

This represents medicines being carried at moving average cost.

18 TRADE DEBTS

Considered good - unsecuredRelated party - Shifa Foundation 18.1 4,670 14,185 Related party - Shifa Tameer-e-Millat University (STMU) 18.2 - 7,332 Others 338,359 316,459 Considered doubtfulOthers 94,655 45,786

437,684 383,762 Less: provision for doubtful debts 37.1.3 94,655 45,786

343,029 337,976

18.1 Maximum amount due from Shifa Foundation at the end of any month during the year was Rs. 19,713 thousand (2013: Rs. 19,135 thousand).

18.2 Maximum amount due from STMU at the end of any month during the year ended June 30, 2013 was 23,054 thousand.

18.3 Trade debts are provided on estimated irrecoverable amounts, on the basis of past experience of the management of the company.



2014 2013 19 LOANS AND ADVANCES Note -------- (Rupees in ‘000’) --------

Considered good - unsecuredEmployees - executives 19.1 7,129 7,791

- other employees 26,128 15,631 33,257 23,422

Consultants 4,817 4,710 Suppliers 126,503 98,192

164,577 126,324

19.1 Reconciliation of carrying amount of advances given to executives:

Balance at beginning of year 7,791 5,044 Disbursements during the year 24,174 18,958

31,965 24,002 Less: Repayments during the year 24,836 16,211 Balance at end of year 7,129 7,791

The above advances were given in accordance with the Company’s service rules. The maximum amount due from executives at the end of any month during the year was Rs. 8,996 thousand (2013: Rs. 8,458 thousand).

2014 2013 Note -------- (Rupees in ‘000’) --------

20 TRADE DEPOSITS AND SHORT TERM PREPAYMENTS

Current portion of lease key money deposits 15.1 1,955 1,301 Other deposits 2,560 2,560 Short term prepayments 32,668 12,486

37,183 16,347

21 OTHER FINANCIAL ASSETS (Held To Maturity Investment)

MCB Bank Limited 21.1 - 102,011 Faysal Bank Limited 21.2 101,235 -

101,235 102,011

21.1 This represented a term deposit receipt (TDR) of MCB Bank Limited having face value of Rs. 100 million with three months maturity, encashed on July 01, 2013. TDR carried an effective profit rate of 8 % per annum.

21.2 This represents two term deposit receipt (TDRs) of Faysal Bank Limited having face value of Rs. 50 million each (2013: Rs. Nil) with three months maturity, due on July 23, 2014 and August 28, 2014 respectively. These TDRs carry an effective profit rate of 8.75 % (2013: Nil) per annum.



(Restated)2014 2013

Note -------- (Rupees in ‘000’) --------22 TAX REFUNDS DUE FROM THE GOVERNMENT

(NET OF PROVISION)

Balance at beginning of year - 79,106 Income tax paid/ deducted at source during the year - 68,223

- 147,329 Less: provision for taxation for year 29 - 144,449 Balance at end of year - 2,880

23 CASH AND BANK BALANCES

Cash at banks in:Current accounts (local currency) 39,145 49,147 Saving accounts:- Local currency 401,656 598,868 - Foreign currency 271 823

23.1 401,927 599,691 23.2 441,072 648,838

Cheques in hand - 4,563 Cash in hand 7,980 8,134

449,052 661,535

23.1 These carry effective profit rates ranging from 4.23% - 8.23% and 0.1% (2013: 5% - 8 % and 0.1% ) per annum in respect of local and foreign currency accounts respectively.

23.2 Balances with banks includes Rs. 51,751 thousands (2013: Rs. 33,466) in respect of security deposits (note 9.3).

24 NON CURRENT ASSET HELD FOR SALE

This represents carrying amount of a plot located at Sector F-11, Islamabad which the management of the Company has decided to sell and accordingly made a formal agreement with the buyer and expects to complete the sale (sublease) within the year 2014.

2014 2013 25 NET REVENUE Note -------- (Rupees in ‘000’) --------

Inpatients 3,000,929 2,407,714 Outpatients 1,598,888 1,343,010 Pharmacy 25.1 1,630,934 1,406,890 Cafeteria 166,635 159,199 Rent of building 25.2 27,814 25,847 Other services 32,144 24,391

6,457,344 5,367,051 Less: discount 64,239 51,462 Net revenue 6,393,105 5,315,589

25.1 This includes revenue of Rs. 489,826 thousand (June 2013: Rs. 433,480 thousand) from external pharmacy outlets.

25.2 This mainly includes rental income on operating leases to related parties.



2014 2013 26 OTHER INCOME Note -------- (Rupees in ‘000’) --------

Income from financial assets:Profit on investments and bank deposits 39,764 25,280 (Loss) / gain on foreign currency translation (767) 399

Income from other than financial assets:(Loss) / gain on disposal of property, plant and equipment (663) 1,835 Liabilities written back 992 1,797 Miscellaneous 26.1 16,801 11,229

56,127 40,540

26.1 This represents sale of Shifa News (magazine of Shifa Publications), advertisement income from Shifa News and sale of scrap.

2014 2013 Note -------- (Rupees in ‘000’) --------

27 OPERATING COSTS

Salaries, wages and benefits 27.1 1,966,090 1,707,584 Utilities 229,940 176,500 Supplies consumed 1,086,878 853,808 Medicines 1,366,808 1,163,246 Communication 27,264 22,763 Travelling and conveyance 12,807 8,646 Printing and stationery 44,037 48,006 Repairs and maintenance 278,567 174,674 Auditors’ remuneration 27.2 1,940 1,775 Legal and professional 10,254 10,699 Rent 69,995 51,631 Rates and taxes 4,533 5,849 Advertising and sales promotion 23,477 20,761 Fee, subscription and membership 5,659 5,041 Vehicle and equipment rentals 27.3 8,181 9,854 Laundry charges 10,235 7,997 Cleaning and washing 38,981 34,217 Insurance 9,137 7,648 Property, plant and equipment written off 27.4 9,927 3,743 Provision for doubtful debts 48,869 12,601 Provision for slow moving stores 370 2,242 Depreciation / amortization 14.4 318,571 272,984 Donation 27.5 28,000 1,872 Other expenses 21,677 21,391

5,622,197 4,625,532

27.1 This includes employee retirement benefits (gratuity expense) of Rs. 50,389 thousand (2013: Rs. 26,061 thousand), expense for accumulating absences of Rs. 25,370 thousand (2013: Rs. 25,636 thousand) and provision for bonus to employees of Rs. 93,751 thousand (2013: Rs. 80,405 thousand).

2014 2013 27.2 Auditors’ remuneration -------- (Rupees in ‘000’) --------

Annual audit fee 1,210 1,100 Half yearly review fee 484 440 Other certifications 125 125 Out of pocket expenses 121 110

1,940 1,775



27.3 This includes Rs. 7,873 thousand (2013: Rs. 9,591 thousand) on account of ujrah payments under an Ijarah. As required under IFAS 2 “Ijarah” (notified through SRO 431(I) /2007 by Securities & Exchange Commission of Pakistan) ujrah payments under an Ijarah are recognised as an expense in the profit and loss account on straight line basis over the Ijarah term.

The amounts of future ujrah payments and the periods in which these will be due are as follows:

2014 2013 -------- (Rupees in ‘000’) --------

Within one year 5,744 8,098 After one year but not more than five years 1,848 6,196 Total ujrah payments 7,592 14,294

27.4 These represent assets written off that are determined to be irreparable after carrying out detailed physical verification exercise by the management.

2014 2013 -------- (Rupees in ‘000’) --------

27.5 Shifa Foundation 10,000 1,872 Shi fa Tameer-e-Mi l lat Univers i ty (STMU) 18,000 -

28,000 1,872

Shifa Foundation and Shifa Tameer-e-Millat University are related parties due to common directorship and related information is as under.

Name of common directors Interest in donee Name & address of the donee

Dr. Manzoor H. Qazi Director Shifa Foundation/STMU, H-8/4, Islamabad

Dr. Habib-Ur-Rahman Director Shifa Foundation, H-8/4, Islamabad

Mr. Muhammad Zahid Director Shifa Foundation, H-8/4, Islamabad

2014 2013 Note -------- (Rupees in ‘000’) --------

28 FINANCE COST

Markup on:Long term loans 183,203 183,668 Running finance and murabaha facilities 94 1,583

Credit card payment collection charges 5,871 4,282 Bank charges and commission 1,294 746

190,462 190,279

(Restated)2014 2013

-------- (Rupees in ‘000’) --------29 PROVISION FOR TAXATION

Current - for the year 170,171 141,939 - prior year - 2,510

12 170,171 144,449 Deferred 8.3 1,846 7,717

172,017 152,166



(Restated)2014 2013

-------- (Rupees in ‘000’) --------

29.1 Reconciliation of tax charge for the year


Applicable tax rate 34.00% 35.00%Add: Tax effect of amounts taxed at lower rates/ others 15.42% 21.47%Less: Net tax effect of amounts that are deductible for tax purposes 22.40% 28.31%Average effective tax rate charged on income 27.02% 28.16%

30 EARNINGS PER SHARE - BASIC AND DILUTED

30.1 Basic

Profit for the year - (Rupees in 000) 464,556 388,152 Weighted average number of shares in issue during the year - (No in 000) 50,514 50,514 Earnings per share - basic and diluted - (Rupees) 9.20 7.68

30.2 There is no dilutive effect on the basic earnings per share of the Company.

31 CAPACITY UTILIZATION

The actual inpatient room occupancy of SIHL Islamabad and SIHL Faisalabad was 119,634 bed days (2013: 114,109 bed days) and 2,773 bed days (2013: 2,885 bed days) out of available 172,810 bed days (2013: 170,082 bed days) and 14,202 bed days (2013: 15,947 bed days) during the operational year which comes to 69.23 % (2013: 67.09%) and 19.53% (2013: 18.09%) of total capacity, respectively. The under utilization reflects the pattern of patient turnover which is beyond the management’s control.

2014 2013 -------- (Rupees in ‘000’) --------

32 UNAVAILED CREDIT FACILITIES

Unavailed credit facilities at year end are as under: Running / Murabaha financing 100,325 100,000 Letter of credit 98,510 90,971 Ijara financing 7,369 4,465 Letter of guarantee - 4,400

206,204 199,836

33 NUMBER OF EMPLOYEES

The Company had 3,755 employees (2013: 3,509 ) at the year end and average number of employees during the year were 3,614 (2013: 3,367).

34 RELATED PARTIES TRANSACTIONS

The related parties comprise of directors, major shareholders, key management personnel, SIHL Employees’ Gratuity Fund and the entities over which directors are able to exercise influence. The amounts due from and due to these undertakings are shown under trade debts, loans and advances and trade and other payables. Other transactions with the related parties are given below:



2014 2013 Note -------- (Rupees in ‘000’) --------

Shifa Foundation: (Related party by virtue of common directorship)

Revenue from services earned by the Company 34.1 26,587 24,537 Revenue from rent 404 404 Donation given by the Company 10,000 1,872

Tameer-e-Millat Foundation: (Related party by virtue of common directorship)

Revenue from rent 44 44 Other supplies provided to the Company 11,297 3,331 Other services provided to the Company 34.2 5,267 3,105

SIHL Employees’ Gratuity Fund

Payments made by the Company during the year 46,737 21,788

Shifa Tameer-e-Millat University

Revenue from services earned by the Company - 12 Revenue from rent 22,346 21,735 Expenses paid by and reimbursed to the Company 19,130 17,064 Donation given by the Company 18,000 -

Remuneration including benefits & perquisites of key management personnel 163,799 138,804

34.1 Revenue earned from related parties includes medical, surgical and clinical services rendered to referred inpatients and outpatients, sale of medicines and provision of cafeteria services.

34.2 Other services are received by the Company for training and development of prospective paramedics staff and employees’ children education.



35.1 The chief executive is provided with a Company maintained car, while another director and forty seven executives availed car facility.

35.2 Non executive directors’ remuneration include Rs. 920 thousand (2013: 240 thousand) in respect of director fee paid to an independent director.

2014 2013 Note -------- (Rupees in ‘000’) --------

36 CASH AND CASH EQUIVALENTS

Cash and bank balances 23 449,052 661,535 Other financial assets 21 101,235 102,011 Short term running finance - secured 11 (39,675) -

510,612 763,546

35 REMUNERATION OF CHIEF EXECUTIVE, DIRECTORS AND EXECUTIVES

The aggregate amount charged in these financial statements in respect of remuneration and allowances, including all benefits, to chief executives, directors and executives of the Company are given below:

Chief Executive Executive Director Non Executive Directors Executives 2014 2013 2014 2013 2014 2013 2014 2013

…………….....……………...……………….(Rupees in ‘000’)……………........…………………………….

Managerial remuneration 22,830 20,169 6,179 5,500 4,586 3,973 122,005 93,816 Rent and utilities 7,260 7,301 2,000 2,000 1,400 1,400 40,068 30,809 Bonus and incentives 1,815 1,650 - - - - 11,602 9,069 Gratuity - - - - - - 20,447 6,695 Medical insurance 45 36 - 36 45 36 2,404 1,774 Leave encashment - - - - - - 3,522 3,230

31,950 29,156 8,179 7,536 6,031 5,409 200,048 145,393

Number of persons 1 1 1 1 2 2 67 57

37 FINANCIAL RISK MANAGEMENT

The Company has exposure to the following risks from its use of financial instruments:

Credit riskLiquidity riskMarket risk

This note presents information about the Company’s exposure to each of the above risks, the Company’s objectives, policies and processes for measuring and managing risk and the Company’s management of capital. Further quantitative disclosures are included throughout these financial statements.

The Board of Directors has overall responsibility for the establishment and oversight of the Company’s risk management framework and policies.

The Company’s risk management policies are established to identify and analyse the risks faced by the Company, to set appropriate risk limits and controls and to monitor risks and adherence to limits. Risk management policies and systems are reviewed regularly to reflect changes in market conditions and the Company’s activities. The Company through its training and management standards and procedures aims to develop a disciplined and constructive control environment in which all employees understand their roles and obligations.




The Audit Committee oversees how management monitors compliance with the Company’s risk management policies and procedures and reviews the adequacy of the risk management framework in relation to the risks faced by the Company. The Audit Committee is assisted in its oversight role by Internal Audit. Internal Audit undertakes both regular and adhoc reviews of risk management controls and procedures, the results of which are reported to the Audit Committee.

37.1 Credit risk

Credit risk is the risk of financial loss to the Company if a customer or counterparty to a financial instrument fails to meet its contractual obligations. The Company manages credit risk in trade debts by limiting significant exposure to the customers not having good credit history. Furthermore, the Company has credit policy in place to ensure that services are rendered to customers with an appropriate credit history.

The Company is also exposed to credit risk from its operating and short term investing activities. The Company’s credit risk exposures are categorised under the following headings:

37.1.1 Counterparties

The Company conducts transactions with the following major types of counterparties:

Trade debts

Trade debts are essentially due from government companies/institutions, private companies (panel companies) and individuals to whom the Company is providing medical services. Normally the services are rendered to the panel companies on agreed rates and limits from whom the Company does not expect any inability to meet their obligations. The Company manages credit risk in trade debts by limiting significant exposure to the customers not having good credit history. Furthermore, the Company has credit policy in place to ensure that services are rendered to customers with an appropriate credit history.

The Company establishes an allowance for impairment that represents its estimate of incurred losses in respect of trade debts. This allowance is based on the management’s assessment of a specific loss component that relates to individually significant exposures.

Cash and investments

The Company limits its exposure to credit risk by investing in liquid securities and maintaining bank accounts only with counterparties that have a credit rating of at least A3 and BBB. Given these credit ratings, management does not expect any counterparty to fail to meet its obligations.

37.1.2 Exposure to credit risk

The carrying amount of financial assets represents the maximum credit exposure. The maximum exposure to credit risk at the reporting date was:

2014 2013 --------- (Rupees in ‘000’) ---------

Long term deposits 38,167 27,089 Trade debts 343,029 337,976 Loans and advances 38,074 28,132 Trade deposits 2,560 2,560 Markup accrued 1,113 552 Other financial assets 101,235 102,011 Bank balances 441,072 653,401

965,250 1,151,721



The maximum exposure to credit risk for trade debts at the reporting date by type of customer was:

2014 2013 --------- (Rupees in ‘000’) ---------

Government companies 77,374 91,216 Private companies 101,186 127,737 Individuals 157,549 91,443 Related parties 4,670 21,517 Others 2,250 6,063

343,029 337,976

37.1.3 Impairment losses

The aging of trade debts at the reporting date was:

2014 2013 Gross debts Impaired Gross debts Impaired

------------------------------- (Rupees in ‘000’) -------------------------------

Not past due 168,704 - 153,958 - 1 - 4 months 104,339 - 100,493 - 5 - 7 months 12,098 605 12,308 615 8 - 12 months 52,962 1,804 68,215 2,901 13 - 18 months 75,656 68,321 41,972 35,454 19 - 23 months 23,925 23,925 6,816 6,816

437,684 94,655 383,762 45,786

The movement in the allowance for impairment in respect of trade debts during the year was as follows:

2014 2013 Note --------- (Rupees in ‘000) ---------

Balance at beginning of year 45,786 34,049 Provision made during the year 48,869 12,601 Less: bad debts written off - 864 Balance at end of year 18 94,655 45,786

The allowance account in respect of trade debts is used to record impairment losses where the Company is satisfied that no recovery of the due amount is possible, at that point the amount considered irrecoverable is written off against the financial asset.

37.1.4 The Company believes that no impairment allowance is necessary in respect of loan and advances, accrued markup, deposits and other financial assets as the recovery of such amounts is possible.

37.2 Liquidity risk

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they fall due. The Company’s approach to managing liquidity is to ensure, as far as possible, that it will always have sufficient liquidity to meet its liabilities when due, under both normal and stressed conditions, without incurring unacceptable losses or risking damage to the Company’s reputation. For this purpose the Company has credit facilities as mentioned in notes 7, 11 and 32 to the financial statements. Further liquidity position of the Company is monitored by the Board through budgets, cash flow projections and comparison with actual results.



37.3 Market risk

Market risk is the risk that changes in market prices, such as foreign exchange rates, markup rates and equity prices will affect the Company’s income or the value of its holdings of financial instruments. The objective of market risk management is to manage and control market risk exposures within acceptable parameters, while optimizing the return on risk. The Company is exposed to currency and mark up rate risk.

37.3.1 Foreign currency risk

Exposure to foreign currency risk

Foreign currency risk arises mainly where receivables and payables exist due to transactions with foreign undertakings and cash in foreign currency bank account. The transactions and balances in foreign currency are very nominal therefore the Company’s exposure to foreign currency risk is very minimal. The Company’s exposure to foreign currency risk is as follows:

2014 2013 2014 2013--------- (Rupees in ‘000’) --------- --------- (US$ in 000’) ---------

Bank balances 271 823 3 8 Letter of credit (US $) (41,051) (22,292) (416) (226)Letter of credit (Euro) - (1,217) - (9)

(40,780) (22,686) (413) (227)

The following significant exchange rates applied during the year:

Average rate Closing rate2014 2013 2014 2013

------------------------------------ (Rupees) ------------------------------------

US $ 1 102.89 96.80 98.75 98.80 Euro 1 - 124.20 - 129.11

Following is the maturity analysis of financial liabilities:

Carrying amount

Six months or less

Six to twelve months

One to two years

Two to five years

Above five years

------------------------------------ (Rupees in ‘000) ------------------------------------

2014

Long term financing 1,504,500 171,167 166,667 666,667 500,000 - Trade and other payables 1,100,711 1,100,711 - - - - Mark up accrued 1,458 1,458 - - - - Short term running finance - secured 39,675 39,675 - - - -

2,646,344 1,313,011 166,667 666,667 500,000 -

2013

Long term financing 1,739,500 25,833 44,167 817,833 851,667 - Trade and other payables 862,142 862,142 - - - - Mark up accrued 5,761 5,761 - - - -

2,607,403 893,736 44,167 817,833 851,667 -



Foreign currency sensitivity analysis

A 10 percent variation of the PKR against the US $ and Euro at June 30 would have effected equity and profit or loss by the amounts shown below. This analysis assumes that all other variables, in particular markup rates, remain constant.

Change in Foreign Exchange Rates Effect on Profit Effect on Equity% (Rupees)

2014Foreign currencies +10% (4,078) (4,078)Foreign currencies -10% 4,078 4,078

2013Foreign currencies +10% (2,269) (2,269)Foreign currencies -10% 2,269 2,269

37.3.2 Markup rate risk

The markup rate risk is the risk that the fair value or future cash flow of a financial instrument will fluctuate due to changes in the market markup rates. Sensitivity to markup rate risk arises from mismatches of financial assets and liabilities that mature in a given period. The Company’s exposure to the risk of changes in market markup rates relates primarily to Company’s long term debt obligations with floating markup rates.

The Company analyses its markup rate exposure on a dynamic basis. Various scenarios are simulated taking into consideration refinancing, renewal of existing positions, alternative financing. Based on these scenarios, the Company calculates the impact on profit and loss of a defined markup rate shift. For each simulation, the same markup rate shift is used for all currencies. The scenarios are run only for liabilities that represent the major markup-bearing positions.

The Company adopts a policy to ensure that markup rate risk is minimized by investing its surplus funds in fixed rate investments like TDRs.

Profile

At the reporting date the markup rate profile of the Company’s markup-bearing financial instruments is:

2014 2013Note --------- (Rupees in ‘000’) ---------

Financial assets

Other financial assets 21 101,235 102,011 Bank balances 23 401,927 599,691

503,162 701,702 Financial liabilities

Long term financing 7 1,504,500 1,739,500 Short term running finance - secured 11 39,675 -

(1,041,013) (1,037,798)

The effective markup rates for the financial assets and liabilities are mentioned in respective notes to the financial statements.

Markup rate sensitivity analysis

If markup rates had been 50 basis points higher / lower and all other variables were held constant, the Company’s profit for the year ended June 30, 2014 would decrease / increase by Rs. 8,389 thousand (2013: decrease / increase by Rs. 8,013 thousand). This is mainly attributable to the Company’s exposure to markup rates on its variable rate borrowings.

37.4 Fair value of financial instruments

Fair value is the amount for which an asset could be exchanged, or a liability settled, between knowledgeable willing parties in an arms length transaction. The carrying values of all financial assets and liabilities reflected in the financial statements approximate their fair values except investment held to maturity which are carried at amortized cost.



37.5 Capital management

The Company’s objectives when managing capital are to safeguard the Company’s ability to continue as a going concern so that it can continue to provide returns for shareholders and benefits for other stakeholders and to maintain a strong capital base to support the sustained development of its business. In order to maintain or adjust the capital structure, the Company may adjust the amount of dividend to ordinary shareholders. There were no changes to the Company’s approach to capital management during the year.

37.5.1 Debt-to-adjusted capital ratio

The Company monitors capital on the basis of the debt-to-adjusted capital ratio. This ratio is calculated as net debt divided by adjusted capital. Net debt is calculated as total debt (as shown in the balance sheet) less cash and cash equivalents. Adjusted capital comprises all components of equity (i.e. share capital, share premium, and unappropriated profit) and includes some forms of subordinated debt. The debt-to-adjusted capital ratios as at June 30 were as follows:

(Restated)2014 2013

Note --------- (Rupees in ‘000’) ---------

Total debt 7 & 11 1,544,175 1,739,500 Less: Cash and cash equivalents 36 510,612 763,546 Net debt 1,033,563 975,954 Total equity 1,889,398 1,587,386 Adjusted capital 2,922,961 2,563,340 Net debt-to-adjusted capital ratio 0.35 0.38

The decrease in the debt-to-adjusted capital ratio during the current year resulted primarily due to decrease in debt and increase in equity.

38 GENERAL

38.1 Corresponding figures, wherever necessary, have been rearranged and reclassified for the purposes of comparison and better presentation. However, these are not considered material enough to be disclosed separately.

38.2 Figures have been rounded off to the nearest one thousand Pak Rupees unless otherwise stated.

39 EVENTS AFTER BALANCE SHEET DATE

The Board of Directors in their meeting held on September 20, 2014 have proposed a final dividend of Rs. 3 per share.

40 DATE OF AUTHORIZATION FOR ISSUE

These financial statements have been authorized for issue by the Board of Directors of the Company on September 20, 2014.



Pattern of Shareholding AS AT JUNE 30, 2014

Number of Shareholders

Size of holding of shares total shares heldFrom to

75 1 100 2,9711,294 101 500 636,299

267 501 1,000 256,776250 1,001 5,000 607,63488 5,001 10,000 758,59143 10,001 15,000 515,85635 15,001 20,000 654,45915 20,001 25,000 340,84616 25,001 30,000 444,37215 30,001 35,000 486,80911 35,001 40,000 427,6674 40,001 45,000 168,1209 45,001 50,000 437,1626 50,001 55,000 311,3055 55,001 60,000 292,0102 60,001 65,000 124,6503 65,001 70,000 205,0003 70,001 75,000 219,7725 75,001 80,000 396,3903 80,001 85,000 247,5102 85,001 90,000 174,9701 90,001 95,000 94,446

15 95,001 100,000 1,500,0003 100,001 105,000 304,3221 105,001 110,000 107,0121 110,001 115,000 113,6001 115,001 120,000 115,2105 120,001 125,000 618,7103 125,001 130,000 380,4252 130,001 135,000 266,8904 135,001 140,000 548,5621 140,001 145,000 142,6301 145,001 150,000 146,0001 150,001 155,000 152,2301 155,001 160,000 159,6001 160,001 165,000 161,0401 165,001 170,000 168,8001 170,001 175,000 170,3001 175,001 180,000 177,0001 190,001 195,000 190,2291 195,001 200,000 200,0002 200,001 205,000 408,8551 205,001 210,000 207,6251 215,001 220,000 219,7551 225,001 230,000 226,1541 230,001 235,000 234,9111 235,001 240,000 238,1101 240,001 245,000 243,840


Number of Shareholders

Size of holding of shares total shares heldFrom to

2 265,001 270,000 535,5601 275,001 280,000 279,7991 285,001 290,000 285,4361 295,001 300,000 300,0004 300,001 305,000 1,208,0021 305,001 310,000 306,8001 310,001 315,000 313,6501 320,001 325,000 320,0601 335,001 340,000 335,8102 345,001 350,000 697,2601 350,001 355,000 354,3701 390,001 395,000 392,0001 415,001 420,000 415,3041 430,001 435,000 433,4001 435,001 440,000 440,0001 440,001 445,000 442,9001 450,001 455,000 452,8501 455,001 460,000 459,3201 475,001 480,000 476,0002 500,001 505,000 1,003,2782 515,001 520,000 1,030,9371 540,001 545,000 544,9271 545,001 550,000 550,0002 555,001 560,000 1,113,4481 745,001 750,000 746,9511 795,001 800,000 800,0001 950,001 955,000 953,9611 1,235,001 1,240,000 1,239,0001 1,245,001 1,250,000 1,250,0001 1,360,001 1,365,000 1,363,2501 1,580,001 1,585,000 1,584,6271 1,635,001 1,640,000 1,637,8321 1,885,001 1,890,000 1,885,2051 2,220,001 2,225,000 2,223,8371 3,455,001 3,460,000 3,457,3431 5,475,001 5,480,000 5,475,258

2,249 50,513,800

Categories of shareholders Number Shares held Percentage

INDIVIDUAL 2,213 40,675,157 80.523

FINANCIAL INSTITUTION 1 10,400 0.021

JOINT STOCK COMPANY 16 257,300 0.509

OTHERS 19 9,570,943 18.947

total 2,249 50,513,800 100.000


Categories of shareholders Number Shares held Percentage

Directors, Chief Executive Officer, 11 9,959,721 19.717

and their spouses and minor children *

Associated Companies, Undertakings 02 8,255,543 16.343

and related parties **

Banks, Development Financial Institutions, 1 10,400 0.021

Non Banking Financial Institutions

Share holders holding 5 % or more voting interest *** 2 11,256,547 22.284

Joint Stock Companies 16 257,300 0.509

Executives 12 96,400 0.191

* No. of Shares held by Directors, CEO and their spouses

Dr. Manzoor H. Qazi 954,961 1.890

Dr. Habib-Ur-Rahman 442,900 0.877

Mrs. Shahida Rahman W/o Dr. Habib-Ur-Rahman 12,150 0.024

Mr. Muhammad Zahid 400,072 0.792

Dr. Abdul Razaq 533,400 1.056

Dr. Mohammad Salim Khan 226,154 0.448

Dr. Saeed A. Bajwa 303,380 0.601

Mr. Shafquat Ali Chaudhary 1,637,832 3.242

Shah Naveed Saeed 12,530 0.025

Mr. Qasim Farooq Ahmad 1,878,890 3.720

Dr. Samea Kauser Ahmad 3,557,452 7.043

** Shares held by related parties

Shifa Foundation 556,448 1.102

Tameer-e-Millat Foundation 7,699,095 15.242

*** Shareholders with 5 % or more voting interest

Dr. Samea Kauser Ahmad 3,557,452 7.043

Tameer-e-Millat Foundation 7,699,095 15.242

Disclosure in Connection with the Pattern of Shareholding as Required by the Code


Notes

Form of Proxy28th Annual General MeetingShifa International Hospitals Ltd

I/We___________________________________________________________________________________________

of _____________________________________________________________________________________________

being a member of Shifa International Hospitals Ltd. (Folio No./CDC A/c No.______________________________

No. of Shares _______________________) hereby appoint _____________________________________________

of______________________________________ Folio No./CDC A/c No. (__________________________________)

or failing him/her ________________________________________________________________________________

of ______________________________________Folio No./CDC A/c No. ___________________________________

who is a member of the Company as my/our proxy in my/our absence to attend and vote for me/us and on my/our behalf at the 28th Annual General Meeting of the Company to be held at 1100 hours on Saturday, October 25, 2014, and at any adjournment thereof.

As witness my hand this __________ day of ____________ 2014

Signed by the said ______________________________________

Witnesses:

1 Signature _________________________ 1 Signature ______________________________

Name _____________________________ Name _______________________________

Address _____________________________ Address _______________________________ ____________________________________ _______________________________

CNIC/Passport No. _________________ CNIC/Passport No.______________________

Important:

1. This form of Proxy, duly completed, signed and stamped must be deposited at the Company’s Registered Office, Sector H-8/4 Islamabad, not less than 48 hours before the time of holding the meeting.

2. If a member appoints more than one proxy and more than one instruments of proxy are deposited by a member with the Company, all such instruments of proxy shall be rendered invalid.

3. CDC account holder, sub account holder/shareholder may appoint proxy and the proxy must produce attested copy of his/her CNIC or original passport at the time of attending the meeting.

(Signature must agree with theSPECIMEN signature

registered with the Company)

RevenueStamp

The Company SecretaryShifa International Hospitals LimitedSector H-8/4, Islamabad,Pakistan

AFFIXCORRECtPOStAGE


Sector H-8/4, Islamabad, Pakistan.Ph: +92-51-846-4646

www.shifa.com.pk

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